Individual provider Active NPI

Amanda B Baker, P.A.

  • Physician Assistant
  • Dickson, TN
National Provider Identifier
1205955424
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1455 Issued in TN
Practice address
817 N Charlotte St
Dickson, TN 37055-1008
Phone
(615) 740-5900
Fax
(615) 446-2386
NPI assigned
Mar 28, 2007
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1455 TN Primary

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

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
I20081028000418 TN Practitioner - Physician Assistant 5193883676 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1455TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Jan 7, 2026 Accepting new patients
American Current Care P.a. CurrentSince Jan 7, 2026 Accepting new patients

Locations

6413 Lee Hwy
Ste 107
Chattanooga, TN 37421
Phone (423) 225-3358

Interoperability endpoints

  • Direct secure messaging: amandabaker@uchsi.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1205955424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BENTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042303",
            "telephone_number": "615-932-7629",
            "fax_number": "615-385-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 N CHARLOTTE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551008",
            "telephone_number": "615-740-5900",
            "fax_number": "615-446-2386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372173505",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Benton Ave",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372042303",
            "country_code": "US",
            "telephone_number": "615-292-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "AMANDA",
        "middle_name": "B",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.