Healthcare Provider Details

I. General information

NPI: 1902761620
Provider Name (Legal Business Name): DANA AMEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 JIMMY CARTER BLVD STE 1650G
NORCROSS GA
30071-1289
US

IV. Provider business mailing address

800 SWEET BRIAR LN SE
CONYERS GA
30094-3857
US

V. Phone/Fax

Practice location:
  • Phone: 770-891-2594
  • Fax: 770-891-2594
Mailing address:
  • Phone: 770-891-2594
  • Fax: 770-891-2594

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN218399
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: