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VIDA AMANFO
NPI 1811726532
Nurse Practitioner - Family in Atlanta, GA

Active since July 31, 2024PECOS Enrolled
274 WOODMILL WAY SW, ATLANTA, GA 30331(508) 579-9770 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vida Amanfo NPPES

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

VIDA AMANFO (NPI 1811726532) is an individual family provider in Atlanta, Georgia, licensed in Georgia (246748) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811726532
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIDA AMANFO
Location Address274 WOODMILL WAY SWAtlanta, GA 30331-9497
Mailing Address1670 Clairmont RdDecatur, GA 30033-4004 · (404) 321-6111
Phone(508) 579-9770
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1811726532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 246748
274 WOODMILL WAY SW, Atlanta, GA 30331
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vida Amanfo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204312192
PECOS Enrollment IDI20260109003380
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30331 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.

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 Vida Amanfo's NPI number?

The NPI number for Vida Amanfo is 1811726532. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Vida Amanfo located?

Vida Amanfo practices at 274 Woodmill Way SW, Atlanta, GA 30331. The listed phone number is (508) 579-9770.

What is Vida Amanfo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vida Amanfo enrolled in Medicare?

Yes. Vida Amanfo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vida Amanfo was last updated on July 31, 2024. 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.