Amy Phelps Methvin, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA1430 Issued in TN

Practice address

326 N Locust Ave
Suite B
Lawrenceburg, TN 38464-3516

Phone

(931) 762-9797

Fax

(931) 762-9798

NPI assigned

Apr 7, 2006

Last updated

Dec 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Amy Lynn Phelps Former name

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harpeth Valley Dermatology PLLCGroup PAC ID 2163849142, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harpeth Valley Dermatology PLLC

  • Dermatology Physician
  • Thompsons Station, TN
  • NPI 1003436932
  Medicare reassignment Care Compare group
• Acacia Dermatology

  • Specialist
  • Lawrenceburg, TN
  • NPI 1528216314
  Medicare reassignment
• Skin Solutions Dermatology & Skin Cancer Surgery, P.C.

  • Specialist
  • Franklin, TN
  • NPI 1215940366
  Medicare reassignment
• Harpeth Valley Dermatology PLLC

  • Dermatology Physician
  • Smyrna, TN
  • NPI 1356964274
  NPD
• Cumberland Skin Surgery and Dermatology

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1922138247
  NPD (past)
• Stratum Health Collective PLLC

  • Integrative Medicine Physician
  • Brentwood, TN
  • NPI 1740121516
  NPD (past)

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1184687600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 POWDERMILL HILL ROAD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "38464",
            "telephone_number": "931-279-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N LOCUST AVE",
            "address_2": "SUITE B",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643516",
            "telephone_number": "931-762-9797",
            "fax_number": "931-762-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHVIN",
        "first_name": "AMY",
        "middle_name": "PHELPS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "PA1430",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "20431",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508540",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "PHELPS",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John L McLean, MD
• Norman Lin McNulty, M.D.
• Medi-Quip, Inc.
• Nickolas Messer
• Sarai Gayle Messer, MS, CCC-SLP
• Kendra Dawn Methvin, NP-C
• Susan Marie Methvin, CRNA
• Michael a Boyd MD PC
• Mid -Tennessee Family Health Center (Mid-Tennesse Medical)
• Matthew J Miller, OD

• Surgical Physician Assistant in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Surgical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.