Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043765720 Individual Practitioner Female Practitioner

Amanda J Raynor , CPNP

Nurse Practitioner - Pediatrics • Macon, GA

Professional Overview & Biography Verified Profile Summary

Amanda Raynor, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Macon, GA. Practice services are available at 5300 BOWMAN PARK under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5300 Bowman Park

Macon, GA 312106583

Telephone 4787413007
Fax 4787443481
Associated Practice Facility / Clinic
🏢 Primary Pediatrics, Pc Facility NPI 1477638575

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
24 Specialists

Practicing in Macon, GA (929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-03-14
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License GA RN23215

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License GA RN232150

Definition to come...

Practice Associates & Co-Workers

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

30 Associated Practitioners
NPI 1093043267

Doctor of Medicine (M.D.)

Caitlin Corley , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1104018357

Registered Nurse, Certified Pediatric Nurse Practitioner

Julia Yawn , CPNP

Nurse Practitioner - Pediatrics

NPI 1215371489

Certified Pediatric Nurse Practitioner

Stefanie Tate

Nurse Practitioner - Pediatrics

NPI 1245621705
NPI 1255081535

Doctor of Medicine (M.D.)

NPI 1265693949

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 14, 2025

Registered at 5300 BOWMAN PARK, MACON, GA 312106583 (Tel: 4787413007)

📍
Updated Business Mailing Address March 14, 2025

Registered at 5300 BOWMAN PARK, MACON, GA 312106583 (Tel: 4787413007)

📍
Updated Practice Location August 16, 2019

Registered at 1045 SOUTHCREST DRIVE, SUITE 110, STOCKBRIDGE, GA 302816113 (Tel: 7705072212)

📍
Updated Business Mailing Address August 16, 2019

Registered at 1045 SOUTHCREST DRIVE, SUITE 110, STOCKBRIDGE, GA 302816113 (Tel: 7705072212)

👤
Provider Name / Credentials Updated August 16, 2019

Recorded as AMANDA RAYNOR, CPNP

NPI Profile Active August 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2016

Registered at 1700 TREE LN, SUITE 110, SNELLVILLE, GA 300786782 (Tel: 7709720860)

📍
Updated Business Mailing Address August 23, 2016

Registered at 1700 TREE LN, SUITE 110, SNELLVILLE, GA 300786782 (Tel: 7709720860)

👤
Provider Name / Credentials Updated August 23, 2016

Recorded as AMANDA CARTER, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2016

Nurse Practitioner (License #RN232150 in GA)

🟢
Initial NPI Registration & Enumeration August 23, 2016

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: 1043765720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2016
Last Update: March 14, 2025
Sole Proprietor: No

Mailing Address

5300 Bowman Park

Macon, GA 312106583

Phone: 4787413007

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.