Hailey A Amick, M.D.
Individual provider Active NPI Anesthesiology Physician · Atlanta, GA
NPI 1154558468 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1154558468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 49899 (TN)
- Practice address
- 1534 Clifton Rd NE
Atlanta, GA 30322-4005 - Phone
- (404) 778-3903
- NPI assigned
- Jun 12, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- University of South Carolina School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Anesthesia Group PC
Practice addresses (Care Compare)
1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 331-1111
Hospital & facility affiliations
- Fort Sanders Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130802000647 | TN | Practitioner - Anesthesiology | 9335380310 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49899 | TN | MD | Anesthesiology Physician |
| LL31786 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Anesthesia Group, PC | Anesthesiology | Current |
Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
Locations
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Dept 888089
Knoxville, TN 37995
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
501 20th St
Ste 606
Knoxville, TN 37916
Phone (865) 331-2278
1901 Clinch Ave
Knoxville, TN 37916
Phone (865) 331-1111
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 49899 | TN | Yes |
| Internal Medicine Physician | 207R00000X | LL31786 | SC |
Addresses
Primary practice location
1534 Clifton Rd NE
Atlanta, GA 30322-4005
Mailing address
408 Drexel Ave
Decatur, GA 30030-2808
Phone (864) 905-0187
Other providers in Atlanta, GA
- Andrea Cecilia Amez
- Patricia Julia Amezaga
- Amgp Georgia Managed Care Company, Inc.
- Amicable Surgical Services LLC
- Amber Amick
- Matthew Amick
- Dina Amin
- Michael Amin
- Neema Amin
- Neil Dilip Amin
All providers in Atlanta, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.