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

Mamta Pandya, ACNP

Individual provider Nurse Practitioner · NPI 1295077899

Mamta Pandya, ACNP is a Nurse Practitioner in Augusta, Georgia. Graduated from University of Virginia School of Medicine in 2012, 14 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia, North Carolina and New Mexico.

Years since qualifying
14
Trained at
University of Virginia School of Medicine
Licensed in
GA, NC, NM
In the registry since
2013
Specialties on file
3
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-3013
Phone: (706) 721-8623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 — (336) 718-7224
  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106 — (505) 272-0768
  • 9100 Babcock Blvd, Pittsburgh, PA 15237 — (412) 367-6700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence GAA-NP000553 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 5015313 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 03518 (NM)

Record details

NPI number1295077899
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedMarch 21, 2013
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022
Mailing address1120 15th St # Or6000, Augusta, GA 30912-0004

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 2012 (14 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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