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

Amy Gamino, AGNP-C

Individual provider Registered Nurse · NPI 1710517941

Amy Gamino, AGNP-C is a Nurse Practitioner in Dallas, Georgia. Qualified in 2022, 4 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

602 W Memorial Drive Suit 101
Dallas, GA 30132
Phone: (943) 202-7870
Fax: (470) 986-7205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 53 Newnan Estates Dr Apt 43, Newnan, GA 30263-1152 — (678) 340-2150

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN256719 (GA)
Registered Nurse Taxonomy 163W00000X · Licence RN256719 (GA)

Record details

NPI number1710517941
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorYes
NPI enumeratedJanuary 15, 2020
Last updated in NPPESOctober 2, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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