Individual provider Active NPI

Andrea Kelley Gore Hayes, APRN, FNP-BC

  • Nurse Practitioner
  • Winchester, TN
National Provider Identifier
1295819175
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN8403 Issued in TN
Practice address
83 Memorial Dr
Winchester, TN 37398-2401
Phone
(931) 962-2236
Fax
(931) 967-0158
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN8403 TN Primary

Addresses

Primary practice location

83 Memorial Dr
Winchester, TN 37398-2401

Mailing address

83 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 962-2236

Other identifiers 2

IdentifierTypeStateIssuer
1031057933OtherTNMEDICARE
1510617MedicaidTN

Other names 1

  • Andrea Kelley Gore Former name

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
I20040819000533 TN Practitioner - Nurse Practitioner 1254304991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oregon Health Sciences University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

108 W Blackwell St
Tullahoma, TN 37388-3505
Phone (931) 841-3821

81 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-0450

83 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-3966

Hospital & facility affiliations

  • NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114
  • Amedisys Home Care Home health agency, Winchester, TN, CCN 447238
  • Adoration Home Health, LLC Home health agency, Madison, TN, CCN 447581
  • Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
  • Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN8403TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg - Southern Tennessee, LLC CurrentSince Jan 1, 2017 Accepting new patients
Amg-Southern Tennessee LLC Current Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jan 1, 2017 Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

300 S Main St
Estill Springs, TN 37330
Phone (931) 649-5139

108 W Blackwell St
Tullahoma, TN 37388
Phone (931) 841-3821

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: andrea.hayes.1@19363.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 11

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1295819175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 MEMORIAL DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982401",
            "telephone_number": "931-962-2236",
            "fax_number": "931-967-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 MEMORIAL DR",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982401",
            "telephone_number": "931-962-2236",
            "fax_number": "931-967-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "ANDREA",
        "middle_name": "KELLEY GORE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN8403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1031057933",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510617",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GORE",
            "middle_name": "KELLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.