NPI age
11 years
Enumerated 2015-06-26
● Active
Type 1 · Individual
Amanda Michelle Outly, PA
Outly is 1 of 214 physician assistant providers in Marietta and 1 of 4,842 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-07
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4842 active physician assistant providers in Georgia.
NPI age
11 years
↑ 3 yr above median (8 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-06Enumerated in NPPES
2015
2026
Where they practice
Practice location
61 Whitcher St Ne Ste 3110
Marietta, GA 300601179
Mailing address
61 Whitcher St Ne Ste 3110
Marietta, GA 300601179
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
5992 Berryhill Rd Ste 302
Milton, FL 325701017
Location 3
1005 Mar Walt Drive, Immediate Care Department
Fort Walton Beach, FL 325476707
Location 4
2001 E. Highway 20, Family Medicine Department
Niceville, FL 325788826
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (FL) | N3KG2 | BCBSFL |
| 05 (FL) | 022418500 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Medicare directory context
Medicare specialties
Physician Assistant
Largest Medicare group
3059 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Wellstar Medical Group Llc
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
Recently enumerated nearby: 8 new physician assistant providers have been added in Marietta in the last 180 days.
See all →
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.