NPI age
13 years
Enumerated 2013-01-22
● Active
Type 1 · Individual
Amanda Michelle Lauderback, NP
Lauderback is 1 of 6 nurse practitioner providers in Stockbridge and 1 of 393 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 393 active nurse practitioner providers in Georgia.
NPI age
13 years
↑ 2 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Practice location
115 Eagle Spring Dr
Stockbridge, GA 302816486
Mailing address
115 Eagle Spring Dr
Stockbridge, GA 302816486
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN186980 | MEDICAL LICENSE |
| 01 (GA) | 003131811A | MEDICAID |
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- 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.