Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA FORTNER MITCHELL, PA-C
Active Sole ProprietorAMANDA FORTNER MITCHELL, PA-C is a Surgical Physician Assistant healthcare provider located in FORT PAYNE, Alabama. NPI 1629576483 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FORT PAYNE, AL
Registration Details
- NPI Number
- 1629576483
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2018 (8.5884562469431 yrs)
- Last Updated
- Jan 29, 2026
- Licenses
-
PA1328 (AL)PA1328 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1303 GAULT AVE N STE IVFORT PAYNE, AL, 359673104Browse AL providers · Browse ZIP 35967
- Phone
- 2562735320
- Fax
- 2562735320
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.