AMANDA SULLIVAN BAHLER APRN
NPI 1245785013
Nurse Practitioner - Acute Care in Fayetteville, GA

Active since August 22, 2016PECOS Enrolled
105 CARNEGIE PL STE 103, FAYETTEVILLE, GA 30214(770) 716-7999(770) 716-8444 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2024, Aug 22, 2016 (2 updates tracked since 2016).

About Amanda Sullivan Bahler Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA SULLIVAN BAHLER APRN (NPI 1245785013) is an individual acute care provider in Fayetteville, Georgia, licensed in Connecticut (6612) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245785013
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMANDA SULLIVAN BAHLERCredential: APRN
Location Address105 CARNEGIE PL STE 103Fayetteville, GA 30214-5900
Mailing Address80 Seymour StreetHartford, CT 06102-5037 · (860) 545-5000
Fax(770) 716-8444
Sole ProprietorNo
Enumeration DateAugust 22, 2016
Last NPPES UpdateMay 9, 20242 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
NPI 1245785013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in CT · 6612
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6612 (CT)
105 CARNEGIE PL STE 103, Fayetteville, GA 30214

Other Names 1

Former Name (1)Amanda Pegeen Sullivan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Sullivan Bahler Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
56 services56 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
32 services32 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services25 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214
Physician Assistant (Medical)
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214
Nurse Practitioner
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214
Nurse Practitioner (Gerontology)
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214
Internal Medicine
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
105 CARNEGIE PL STE 103
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bahler's NPI number?

The NPI number for Amanda Bahler is 1245785013. It was assigned to this individual provider in the NPPES registry on August 22, 2016. The provider is also known as Amanda Pegeen Sullivan.

Where is Amanda Bahler located?

Amanda Bahler practices at 105 Carnegie Pl Ste 103, Fayetteville, GA 30214. The listed phone number is (770) 716-7999.

What is Amanda Bahler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amanda Bahler enrolled in Medicare?

Yes. Amanda Bahler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Bahler was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.