Provider Demographics
NPI:1710036686
Name:IMES, AMY D (APRN, BC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:IMES
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 N HIGHLAND AVE NE UNIT 3038
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-5640
Mailing Address - Country:US
Mailing Address - Phone:478-244-1427
Mailing Address - Fax:
Practice Address - Street 1:1155 PERIMETER CTR FL 11
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30338-5463
Practice Address - Country:US
Practice Address - Phone:404-220-7334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA139646363LP2300X
GARN139646363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care