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

Mrs. Amanda Whitaker Tipton, PA-C

Individual provider Physician Assistant · NPI 1073862355

Mrs. Amanda Whitaker Tipton, PA-C is a Physician Assistant in Winston Salem, North Carolina. Licensed in California and North Carolina. Registered with an NPI since 2012.

Licensed in
CA, NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1901 Mooney St
Winston Salem, NC 27103-3032
Phone: (336) 716-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-06441 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA22505 (CA)

Record details

NPI number1073862355
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 2, 2012
Last updated in NPPESOctober 14, 2016

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