Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Dian Dooly

Individual provider Physician Assistant · NPI 1710718382

Amanda Dian Dooly is a Physician Assistant in Fort Benning, Georgia. Qualified in 2024, 2 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Georgia and Texas.

Years since qualifying
2
Licensed in
GA, TX
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone: (762) 408-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13647 (GA)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA18493 (TX)

Record details

NPI number1710718382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address6600 Van Aalst Blvd, Fort Benning, GA 31905-2102

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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