Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Green, PA-C

Individual provider Physician Assistant · NPI 1760083059

Amanda Green, PA-C is a Physician Assistant in Shallotte, North Carolina. Qualified in 2021, 5 years ago. Practices with Tri County Community Health Council Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Carolina.

Years since qualifying
5
Licensed in
MN, NC
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

341 Whiteville Rd NW
Shallotte, NC 28470-4507
Phone: (877) 935-5255
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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 0010-15310 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 14006 (MN)

Record details

NPI number1760083059
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025
Mailing address30 Railroad Ave, Albany, MN 56307-9379

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tri County Community Health Council Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Shallotte