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

Amanda Jean Elder, PAC

Individual provider Physician Assistant · NPI 1215900048

Amanda Jean Elder, PAC is a Physician Assistant in Tulsa, Oklahoma. Qualified in 2004, 22 years ago. Practices with Radiology Associates of North Georgia, a 36-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
22
Licensed in
OK
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1705 E 19th St Ste 302
Tulsa, OK 74104-5405
Phone: (918) 748-7585
Fax: (918) 403-6352
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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 1429 (OK)

Record details

NPI number1215900048
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 10, 2006
Last updated in NPPESJuly 22, 2016
Mailing addressPo Box 25277, Overland Park, KS 66225-5277

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Radiology Associates Of North Georgia — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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