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

Amy Petrillo, NP

Individual provider Acute Care Nurse Practitioner · NPI 1902540594

Amy Petrillo, NP is a Nurse Practitioner in Gainesville, Georgia. Qualified in 2024, 2 years ago. Practices with Kidney Care Center of Georgia LLC, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

663 Lanier Park Dr
Gainesville, GA 30501-2059
Phone: (678) 450-0202
Fax: (678) 450-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN237354 (GA)

Record details

NPI number1902540594
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESDecember 3, 2024
Certification dateNovember 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kidney Care Center Of Georgia Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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