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

Amanda Marie Aguirre-Johnson

Individual provider Medical Physician Assistant · NPI 1376095562

Amanda Marie Aguirre-Johnson is a Physician Assistant in Gainesville, Georgia. Graduated from Lincoln Memorial University Medical Department in 2016, 10 years ago. Practices with Southeast Radiation Oncology Group, PA, a 52-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
10
Trained at
Lincoln Memorial University Medical Department
In the registry since
2016

Practice location Address checks out

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone: (678) 450-0202
Fax: (678) 971-6065
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1376095562
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 4, 2016
Last updated in NPPESNovember 4, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2016 (10 years in practice)
Group practice Southeast Radiation Oncology Group, P.A. — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gainesville