P Praxis·MD
● Active Type 1 · Individual

Amanda Sullivan Bahler, APRN

Nurse Practitioner·Fayetteville, GA· NPI 1245785013 · Enumerated 2016 · 9 years on NPI
Bahler is 1 of 6 nurse practitioner providers in Fayetteville and 1 of 950 in Georgia.
NPI age
9 years
Enumerated 2016-08-22
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
CT
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
9 years
↑ 3 yr above median (6 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 36% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Practice location
105 Carnegie Pl Ste 103
Fayetteville, GA 302145900
📞 7707167999fax 7707168444
Mailing address
80 Seymour Street
Hartford, CT 061025037
📞 8605455000

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    CT license #6612 taxonomy 363LA2100X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    CT license #6612 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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