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Active NPI 1174177752 Individual Practitioner Female Practitioner

Amanda Mathews Vicznesky , PA

Physician Assistant • Austell, GA

Professional Overview & Biography Verified Profile Summary

Amanda Vicznesky, PA is a registered healthcare professional specializing in Physician Assistant in Austell, GA. Practice services are available at 3950 AUSTELL RD under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, emergency department visit with low level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3950 Austell Rd

Austell, GA 301061121

Telephone 4707324000
Associated Practice Facility / Clinic
🏢 Cobb Hospital, Inc Facility NPI 1619967494

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Austell, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
88 Specialists

Practicing in Austell, GA (4726 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
89.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
32 32 $1448.44 $146.06
99284 Emergency department visit with moderate level of medical decision making
22 22 $976.82 $100.70

Medical Specialties & State Licenses

CMS Verified: 2023-08-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 9456

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

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.

Secondary Practice Locations

450 Northside Cherokee Blvd

Canton, GA 301158015

Phone: 7702241000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Lauren Warren , NP

Nurse Practitioner

NPI 1023637923

Nurse Practitioner

Saraswati Neupane , NP

Nurse Practitioner - Acute Care

NPI 1093215873

Nurse Practitioner

Ariana Lyons , AA

Anesthesiologist Assistant

NPI 1114733722
NPI 1407215718

PHYSICIANASSISTANT

Abhinav Nimmagadda , EMT-B

Emergency Medical Technician, Basic

NPI 1417886706

EMTB

Kathryn Skinner , NP

Nurse Practitioner - Family

NPI 1477146678

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address August 07, 2023

Registered at 110 IVY BROOK DR, DALLAS, GA 301575523 (Tel: 2173574592)

NPI Profile Active July 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2019

Registered at 3950 AUSTELL RD, AUSTELL, GA 301061121 (Tel: 4707324000)

📍
Updated Business Mailing Address July 31, 2019

Registered at 11203 HOLLAND PL APT 11203, LAWRENCEVILLE, GA 300438664 (Tel: 2173574592)

👤
Provider Name / Credentials Updated July 31, 2019

Recorded as AMANDA VICZNESKY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration July 31, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174177752
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2019
Last Update: August 07, 2023
Sole Proprietor: No

Mailing Address

110 Ivy Brook Dr

Dallas, GA 301575523

Phone: 2173574592

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.