Amanda Michele Mullins, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

32642 Issued in TN

Practice address

712 Professional Plaza Dr
Greeneville, TN 37745-5138

Phone

(423) 820-0432

Fax

(423) 525-8795

NPI assigned

Aug 13, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of Virginia School of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Revida Recovery Centers PCGroup PAC ID 1153657473, 28 clinicians

Crossroads Treatment Centers of Tennessee, PCGroup PAC ID 6204262025, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossroads Treatment Centers of Tennessee, PC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Harriman, TN
  • NPI 1316403405

  TN

  Medicare reassignment Care Compare group NPD
• Revida Recovery Centers, PC

  • Addiction Medicine (Family Medicine) Physician
  • Abingdon, VA
  • NPI 1013483486

  TN

  Medicare reassignment Care Compare group NPD
• Crossroads Treatment Centers of Tennessee, P.C.

  • Clinical Medical Laboratory
  • Johnson City, TN
  • NPI 1285599431
  Care Compare group
• Crossroads Treatment Centers of Tennessee, P.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fayetteville, TN
  • NPI 1780541607
  NPD
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bristol, VA
  • NPI 1730756131
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1063769719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 PROFESSIONAL PLAZA DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455138",
            "telephone_number": "423-820-0432",
            "fax_number": "423-525-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 PROFESSIONAL PLAZA DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377455138",
            "telephone_number": "423-820-0432",
            "fax_number": "423-525-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "AMANDA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "32642",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024170245",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Kay Morong
• Robert W Mosca, DO
• Joe David Mottern, FNP
• Mountain States Health Alliance
• Stephen Dale Mulhollen
• Amber Nicole Mullins, M.D.
• Amy Maria Mullins, MA
• Elizabeth Louise Mullins, MSSW LCSW
• Marsi S Mullins, PA-C
• Valerie Mullins, PA-C

• All providers in Greeneville, TN
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.