MRS. AMANDA MARIE PANCHAME NPC
NPI 1710170899
Nurse Practitioner in Marietta, GA

Q: What is Amanda Panchame's NPI number?

The NPI number for Amanda Panchame is 1710170899. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Q: What is Amanda Panchame's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Panchame was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 22, 2007

702 CANTON ROAD, MARIETTA, GA 30060(770) 428-4486(770) 425-6005 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Amanda Marie Panchame Npc NPPES

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

MRS. AMANDA MARIE PANCHAME NPC (NPI 1710170899) is an individual nurse practitioner in Marietta, Georgia, licensed in Georgia (RN146197) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1710170899

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. AMANDA MARIE PANCHAMECredential: NPC

Location Address702 CANTON ROADMarietta, GA 30060

Mailing Address702 Canton RoadMarietta, GA 30060 · (770) 428-4486 · Fax (770) 425-6005

Phone(770) 428-4486

Fax(770) 425-6005

Sole ProprietorNo

Enumeration DateAugust 22, 2007

✔ NPI 1710170899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN146197

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

702 CANTON ROAD, Marietta, GA 30060

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Other Providers at the Same Location NPPES

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

JOEL EDWARD BERENSON MD

Radiology (Diagnostic Radiology)

702 CANTON ROAD
MARIETTA, GA 30060

Cobb County (770) 428-4486

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 Panchame's NPI number?

The NPI number for Amanda Panchame is 1710170899. It was assigned to this individual provider in the NPPES registry on August 22, 2007.

Where is Amanda Panchame located?

Amanda Panchame practices at 702 Canton Road, Marietta, GA 30060. The listed phone number is (770) 428-4486.

What is Amanda Panchame's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Amanda Panchame was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.