Individual provider Active NPI

Amanda Leigh Flood, APN

  • Family Nurse Practitioner
  • Camden, TN
National Provider Identifier
1184284374
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25974 Issued in TN
Practice address
176 Briarwood St Ste B
Camden, TN 38320-1456
Phone
(731) 213-2720
Fax
(901) 350-3677
NPI assigned
Jun 19, 2019
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25974 TN Primary

Addresses

Primary practice location

176 Briarwood St Ste B
Camden, TN 38320-1456

Mailing address

5683 S Rex Rd
Memphis, TN 38119-3821
Phone (901) 350-0678

Other practice location 1

5683 S Rex Rd
Memphis, TN 38119-3821
Phone (901) 350-0678

Other practice location 2

1720 E Reelfoot Ave Ste 200
Union City, TN 38261-6049
Phone (731) 507-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190910000668 TN Practitioner - Nurse Practitioner 6204165749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

1015 Kelley Dr
Suite 200
Paris, TN 38242-5820
Phone (731) 644-2271

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25974TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc CurrentSince Oct 1, 2024 Accepting new patients
Henry County Medical Center Current Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Jan 13, 2021 Accepting new patients
West Tennessee Healthcare Henry County CurrentSince Jul 20, 2020 Accepting new patients
Henry County Medical Center CurrentSince Jul 20, 2020 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Jan 13, 2021 Accepting new patients
Bluff City Pain, PLLC PastSince Oct 21, 2025 Accepting new patients
Jackson Surgical Associates. PA Past Accepting new patients

Locations

787 Weatherly Dr
Ste 200
Clarksville, TN 37043
Phone (800) 668-9410

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

301 Tyson Ave
Ste 2
Paris, TN 38242

Interoperability endpoints

  • Direct secure messaging: aflood@hcmcclinics.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b673e6c7-c87b-498f-86b2-99b24c52c924/

Organizations & group practices 8

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1184284374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5683 S REX RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193821",
            "telephone_number": "901-350-0678",
            "fax_number": "901-350-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BRIARWOOD ST STE B",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201456",
            "telephone_number": "731-213-2720",
            "fax_number": "901-350-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5683 S Rex Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193821",
            "country_code": "US",
            "telephone_number": "901-350-0678",
            "fax_number": "901-350-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 E Reelfoot Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "TN",
            "postal_code": "382616049",
            "country_code": "US",
            "telephone_number": "731-507-0272",
            "fax_number": "731-507-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOOD",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, TN

Sources for this page

Verify at the official NPI Registry.