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

Amanda Nicole Vergara, PA-C

Individual provider Physician Assistant · NPI 1467197780

Amanda Nicole Vergara, PA-C is a Physician Assistant in Decatur, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2022
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

2701 N Decatur Rd
Decatur, GA 30033-5918
Phone: (404) 501-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 Dekalb Medical Pkwy, Lithonia, GA 30058-4996 — (404) 501-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11026 (GA)

Record details

NPI number1467197780
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

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