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Mrs. Amanda Elizabeth Shaw

Family Nurse Practitioner in Dallas, GA · enumerated 2015 · practices at Georgia Cvs Pharmacy LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104216639

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Registry record

Entity type Individual (Type 1)
Name Mrs. Amanda Elizabeth Shaw
Sex Female
Practice address 495 Charles Hardy Pkwy, Dallas, GA, 30157
Phone (770) 445-2128
Enumeration date Feb 4, 2015
Last updated in NPPES Feb 9, 2020

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN210233 (GA) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Amanda Shaw practice?
The practice location on file with NPPES is in Dallas, GA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Amanda Shaw?
The National Provider Identifier (NPI) for Amanda Shaw is 1104216639, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-02-09.