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

Individual provider Physician Assistant · NPI 1558603811

Mrs. Amanda Eanes Pisciotta, PA is a Physician Assistant in Watkinsville, Georgia. Qualified in 2012, 14 years ago. Practices with Georgia Skin Cancer and Aestheitic Dermatology, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
14
Licensed in
GA
In the registry since
2013
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1180 Resurgence Dr Ste 100
Watkinsville, GA 30677-7210
Phone: (706) 543-5858
Fax: (706) 543-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (GA)

Record details

NPI number1558603811
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 25, 2013
Last updated in NPPESAugust 3, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Georgia Skin Cancer And Aestheitic Dermatology, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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