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AMANDA LARISCEY PA-C
NPI 1780164590
Physician Assistant in Vidalia, GA

Active since August 21, 2018PECOS EnrolledAccepts Medicare Assignment
122 ALICE COLEMAN DRIVE, VIDALIA, GA 30474(912) 805-2273 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2022, Aug 21, 2018 (2 updates tracked since 2018).

About Amanda Lariscey Pa-c NPPES

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

AMANDA LARISCEY PA-C (NPI 1780164590) is an individual physician assistant in Vidalia, Georgia and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Health Meadows Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780164590
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA LARISCEYCredential: PA-C
Location Address122 ALICE COLEMAN DRIVEVidalia, GA 30474
Mailing AddressPo Box 2324Vidalia, GA 30475-2324
Phone(912) 805-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 21, 2018
Last NPPES UpdateJanuary 7, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2022
✔ NPI 1780164590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
122 ALICE COLEMAN DRIVE, Vidalia, GA 30474
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Accepted Insurance

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

Amanda Lariscey 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 ID1951648104
PECOS Enrollment IDI20190124003911
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 10

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
480 services45 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
217 services41 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
176 services74 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.
162 services78 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.
126 services77 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
105 services20 patients

Hospital Affiliations CMS Care Compare

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

Memorial Health Meadows Hospital

Acute Care Hospitals · Vidalia, GA
5/5 CMS rating
OwnershipProprietary
CMS Certification Number110128
LocationOne Meadows ParkwayVidalia, GA 30474 · Toombs County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DEWEY D HOWELL FNP-C
Nurse Practitioner (Family)
122 ALICE COLEMAN DRIVE
VIDALIA, GA 30474
Toombs County (912) 805-2273
ALEXIS BYRD FOUNTAIN FNP-C
Nurse Practitioner (Family)
122 ALICE COLEMAN DRIVE
VIDALIA, GA 30474
Toombs County (912) 805-2273
VIDALIA IMMEDIATE & PRIMARY CARE LLC
Clinic/Center (Primary Care)
122 ALICE COLEMAN DRIVE
VIDALIA, GA 30474
Toombs County (912) 805-2273

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 Lariscey's NPI number?

The NPI number for Amanda Lariscey is 1780164590. It was assigned to this individual provider in the NPPES registry on August 21, 2018.

Where is Amanda Lariscey located?

Amanda Lariscey practices at 122 Alice Coleman Drive, Vidalia, GA 30474. The listed phone number is (912) 805-2273.

What is Amanda Lariscey's specialty?

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

Is Amanda Lariscey enrolled in Medicare?

Yes. Amanda Lariscey 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 Amanda Lariscey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Amanda Lariscey 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 Lariscey affiliated with any hospitals?

According to CMS data, Amanda Lariscey is affiliated with Memorial Health Meadows Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Lariscey was last updated on January 7, 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.