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AMANDA S SMITH PA
NPI 1316043227
Physician Assistant - Medical in Waycross, GA

Active since September 16, 2006
700 RIVERSIDE AVE, WAYCROSS, GA 31501(912) 490-8546(877) 221-0052 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda S Smith Pa NPPES

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

AMANDA S SMITH PA (NPI 1316043227) is an individual medical provider in Waycross, Georgia, licensed in Florida (PA9103832) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1316043227
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA S SMITHCredential: PA
Location Address700 RIVERSIDE AVEWaycross, GA 31501-5358
Mailing Address700 Riverside AveWaycross, GA 31501-5358 · (912) 490-8546 · Fax (877) 221-0052
Phone(912) 490-8546
Fax(877) 221-0052
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1316043227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9103832
700 RIVERSIDE AVE, Waycross, GA 31501
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Other Identifiers 2

Medicaid292817500FL
Medicaid003130352CGA

Other Providers at the Same Location NPPES

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

BRACO MEDICAL SERVICES LLC
Physician Assistant
700 RIVERSIDE AVE
WAYCROSS, GA 31501
Ware County (912) 490-8546

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 Smith's NPI number?

The NPI number for Amanda Smith is 1316043227. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Amanda Smith located?

Amanda Smith practices at 700 Riverside Ave, Waycross, GA 31501. The listed phone number is (912) 490-8546.

What is Amanda Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Amanda Smith was last updated on December 26, 2023. 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.