Provider Demographics
NPI:1811990211
Name:PAPSZYCKI, AMY MICHELLE (CNM)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:PAPSZYCKI
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MICHELLE
Other - Last Name:HANNAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:221 TECHNOLOGY PKWY NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1369
Mailing Address - Country:US
Mailing Address - Phone:762-235-1000
Mailing Address - Fax:
Practice Address - Street 1:200 GENTILLY BLVD
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8504
Practice Address - Country:US
Practice Address - Phone:470-490-7200
Practice Address - Fax:770-276-7251
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN290469367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3495002Medicaid
TN3380640Medicaid
TN11566OtherAPN
TN3380640Medicaid
TN3380640Medicare ID - Type UnspecifiedMEDICAID GROUP