SALLY GANTT AMAYA PA-C
NPI 1568091379
Physician Assistant in Daphne, AL

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
28490 2ND ST STE B, DAPHNE, AL 36526(251) 308-9800 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2022, Apr 8, 2020, Apr 3, 2020 (3 updates tracked since 2020).

About Sally Gantt Amaya Pa-c NPPES

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

SALLY GANTT AMAYA PA-C (NPI 1568091379) is an individual physician assistant in Daphne, Alabama, licensed in Alabama (1550) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568091379
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSALLY GANTT AMAYACredential: PA-C
Location Address28490 2ND ST STE BDaphne, AL 36526-7150
Mailing AddressPo Box 7418Spanish Fort, AL 36577-7418 · (251) 895-7133
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 3, 2020
Last NPPES UpdateJanuary 10, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2022
NPI 1568091379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in AL · 1550 Licensed in AL · PA1550
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
28490 2ND ST STE B, Daphne, AL 36526

Other Names 1

Former Name (1)Sally Hale Gantt Pa-c

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sally Gantt Amaya Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709216526
PECOS Enrollment IDI20200420000608, I20240814005018
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

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.

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.
36 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36526 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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 2

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

Nurse Practitioner (Adult Health)
28490 2ND ST STE B
DAPHNE, AL 36526
Nurse Practitioner (Family)
28490 2ND ST STE B
DAPHNE, AL 36526

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 Sally Amaya's NPI number?

The NPI number for Sally Amaya is 1568091379. It was assigned to this individual provider in the NPPES registry on April 3, 2020. The provider is also known as Sally Hale Gantt Pa-C.

Where is Sally Amaya located?

Sally Amaya practices at 28490 2nd St Ste B, Daphne, AL 36526. The listed phone number is (251) 308-9800.

What is Sally Amaya's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sally Amaya enrolled in Medicare?

Yes. Sally Amaya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sally Amaya accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Sally Amaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sally Amaya was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.