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AMANDA RAE HINSON NP
NPI 1730628553
Nurse Practitioner - Primary Care in Stockbridge, GA

Active since February 13, 2017PECOS EnrolledAccepts Medicare Assignment
79.88/100
CMS Quality Rating
7402 DAVIDSON CIR W, STOCKBRIDGE, GA 30281(770) 919-5238 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2020, Apr 18, 2018, Feb 14, 2017 (3 updates tracked since 2017).

About Amanda Rae Hinson Np NPPES

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

AMANDA RAE HINSON NP (NPI 1730628553) is an individual primary care provider in Stockbridge, Georgia, licensed in Georgia (RN174971) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Monroe County Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1730628553
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameAMANDA RAE HINSONCredential: NP
Location Address7402 DAVIDSON CIR WStockbridge, GA 30281
Mailing Address111 Moonlight CtJackson, GA 30233-3120 · (706) 463-3800
Phone(770) 919-5238
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 13, 2017
Last NPPES UpdateJuly 9, 20203 updates tracked since enumeration
NPPES CertifiedJuly 9, 2020
✔ NPI 1730628553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in GA · RN174971
7402 DAVIDSON CIR W, Stockbridge, GA 30281
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Rae Dover Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Rae Hinson Np 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 ID8527344662
PECOS Enrollment IDI20170404001626
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Amanda Hinson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Atlanta Vascular Institute, LLC
1.3 mi
Vascular Surgery
4045 MT. ZION PARKWAY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1063903078 (770) 919-5238
Aga, LLC
16 mi
Gastroenterology
550 PEACHTREE ST NE STE 1600
Atlanta, GA 30308
  • Reassigned Medicare billing, Georgia enrollment
  • 190 clinicians in this Medicare group
NPI 1124064118 (404) 881-1094
Aga Clinical Services, LLC
25 mi
Gastroenterology
1000 JOHNSON FY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 36 clinicians in this Medicare group
NPI 1295193399 (800) 858-1014
Aga Professional Services, LLC
25 mi
Gastroenterology
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 162 clinicians in this Medicare group
NPI 1063799120 (855) 709-4535
Gastroenterology Associates Of Central Ga, LLC
62 mi
Specialist
610 3RD ST, SUITE 206
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 25 clinicians in this Medicare group
NPI 1528192176 (478) 464-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.
258 services160 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
27 services27 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.
21 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Monroe County Hospital

Critical Access Hospitals · Forsyth, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111318
Location88 Martin Luther King Jr DriveForsyth, GA 31029 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.48
Promoting Interoperability98
Improvement Activities40
Cost78.12

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
100%38 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%62 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Hinson's NPI number?

The NPI number for Amanda Hinson is 1730628553. It was assigned to this individual provider in the NPPES registry on February 13, 2017. The provider is also known as Amanda Rae Dover Np.

Where is Amanda Hinson located?

Amanda Hinson practices at 7402 Davidson Cir W, Stockbridge, GA 30281. The listed phone number is (770) 919-5238.

What is Amanda Hinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Amanda Hinson enrolled in Medicare?

Yes. Amanda Hinson 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.

Which organizations bill Medicare for Amanda Hinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Hinson reassigns Medicare benefits to 5 organizations: South Atlanta Vascular Institute, LLC (Stockbridge, GA), Aga, LLC (Atlanta, GA), Aga Clinical Services, LLC (Atlanta, GA), Aga Professional Services, LLC (Atlanta, GA) and Gastroenterology Associates Of Central Ga, LLC (Macon, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Hinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Hinson accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Amanda Hinson 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.

Is Amanda Hinson affiliated with any hospitals?

According to CMS data, Amanda Hinson is affiliated with Monroe County Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Hinson was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.