Individual provider · Type 1 NPI

Amanda Fortner Mitchell, PA-C

Surgical Physician Assistant · Fort Payne, AL

NPI number 1629576483 Active

Practice location

1303 Gault Ave N Ste IV
Fort Payne, AL 35967-3104

Call (256) 273-5320 Map

Fax (256) 273-5320

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA1328 (AL)
Physician Assistant 363A00000XPA1328 (AL)

Surgical Physician Assistant: Definition to come...

About NPI 1629576483

Amanda Fortner Mitchell, PA-C's National Provider Identifier is 1629576483, issued on Jan 26, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Payne, AL. The record was last updated on Jan 29, 2026.