Amanda B Baker, P.A.
Individual provider Active NPI Physician Assistant · Dickson, TN
NPI 1205955424 · NPPES record last updated Nov 6, 2024
Key facts
- NPI
- 1205955424
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1455 (TN)
- Practice address
- 817 N Charlotte St
Dickson, TN 37055-1008 - Phone
- (615) 740-5900
- Fax
- (615) 446-2386
- NPI assigned
- Mar 28, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081028000418 | TN | Practitioner - Physician Assistant | 5193883676 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1455 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current |
Accepting new patients | |
| American Current Care P.a. | Current |
Accepting new patients |
Locations
6413 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (423) 225-3358
Interoperability endpoints
- amandabaker@uchsi.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1455 | TN | Yes |
Addresses
Primary practice location
817 N Charlotte St
Dickson, TN 37055-1008
Mailing address
601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 932-7629
Other practice location 1
2637 Murfreesboro Pike
Nashville, TN 37217-3505
Phone (615) 292-9770
Other practice location 2
601 Benton Ave
Nashville, TN 37204-2303
Phone (615) 292-9770
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1514064 | Medicaid | TN |
Other providers in Dickson, TN
- Cale W Atteberry
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc
- Stephanie Austin
- Jeffrey Darnell Baggett
- Cheryl Baker
- Lacie Alison Baker
- Carla Bancroft
- Leigh Ann Bandy
- Sadie Elizabeth Barnes
All providers in Dickson, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2024. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.