P Praxis·MD
● Active Type 1 · Individual

Amy Gamino, AGNP-C

Nurse Practitioner·Dallas, GA· NPI 1710517941 · Enumerated 2020 · 6 years on NPI
Gamino is 1 of 4 nurse practitioner providers in Dallas and 1 of 806 in Georgia.
NPI age
6 years
Enumerated 2020-01-15
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-02
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
6 years
↓ 5 yr below median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Practice location
602 West Memorial Drive, Suit 101
Dallas, GA 30132
📞 9432027870fax 4709867205
Mailing address
602 West Memorial Drive, Suit 101
Dallas, GA 30132
📞 9432027870fax 4709867205

Additional practice locations

1 secondary location on file with NPPES.

Location 2
53 Newnan Estates Dr Apt 43
Newnan, GA 302631152
📞 6783402150

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN256719 taxonomy 363LA2200X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    GA license #RN256719 taxonomy 163W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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