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AMANDA DAVIS DORN DO
NPI 1982164810
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since March 25, 2019PECOS Enrolled
235 E PRINCETON ST STE 200, ORLANDO, FL 32804(407) 303-1444 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2023, Sep 9, 2022 (2 updates tracked since 2022).

About Amanda Davis Dorn Do NPPES

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

AMANDA DAVIS DORN DO (NPI 1982164810) is an individual student in an organized health care education/training program in Orlando, Florida, licensed in Florida (UO8854) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Anderson.

NPPES Registry Identity

NPI1982164810
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA DAVIS DORNCredential: DO
Location Address235 E PRINCETON ST STE 200Orlando, FL 32804-5555
Mailing Address1010 Pensacola StHonolulu, HI 96814-2118 · (808) 432-2000
Phone(407) 303-1444
Sole ProprietorNo
Enumeration DateMarch 25, 2019
Last NPPES UpdateMay 25, 20232 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1982164810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in FL · UO8854
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DOS-2293 (HI)
235 E PRINCETON ST STE 200, Orlando, FL 32804
Open in Google Maps ↗

Secondary Practice Location 1

Location 12000 E Greenville St Ste 3700Anderson, SC 29621-1725 · Phone (864) 512-1115

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Davis Dorn Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Amanda Dorn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anmed Health
402 mi
Rural Health
331 ANTREVILLE HWY
Iva, SC 29655
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1639102270 (South Carolina), NPI 1871914572 (South Carolina)
  • 166 clinicians in this Medicare group
NPI 1619914983 (864) 348-6122

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

Other Providers at the Same Location NPPES 18

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

SHANNON HUGHES APRN
Nurse Practitioner (Women's Health)
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444
TYRA DEAN-OUSLEY EDD, APN, FNP-BC
Nurse Practitioner (Family)
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444
EMMANUELLE CRIDER
Physician Assistant (Medical)
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444
KEREN DEBRA DARIUS MD
Obstetrics & Gynecology
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444
ANAIS AMADOR CNM
Advanced Practice Midwife
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444
MRS. KRIS ANNE ROBINSON ARNP, CNM
Advanced Practice Midwife
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444
TAYLOR BHOWANIDIN
Nurse Practitioner (Family)
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444
LAUREN FRANCES HERBERT WHNP-BC
Nurse Practitioner (Women's Health)
235 E PRINCETON ST STE 200
ORLANDO, FL 32804
Orange County (407) 303-1444

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 Dorn's NPI number?

The NPI number for Amanda Dorn is 1982164810. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Amanda Dorn located?

Amanda Dorn practices at 235 E Princeton St Ste 200, Orlando, FL 32804. The listed phone number is (407) 303-1444.

What is Amanda Dorn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Dorn enrolled in Medicare?

Yes. Amanda Dorn is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Dorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dorn reassigns Medicare benefits to Anmed Health (Iva, SC). The 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 Dorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Dorn was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.