Individual provider Active NPI

Amanda Blair Thornton, APRN

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1306486519
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26519 Issued in TN
Practice address
2504 Regents Walk
Germantown, TN 38138-5809
Phone
(901) 826-2888
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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 26519 TN Primary

Addresses

Primary practice location

2504 Regents Walk
Germantown, TN 38138-5809

Mailing address

2504 Regents Walk
Germantown, TN 38138-5809
Phone (901) 826-2888

Other identifiers 1

IdentifierTypeStateIssuer
Q055553MedicaidTN

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
I20200313000585 TN Practitioner - Nurse Practitioner 3173951761

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Germantown, TN 38183

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Center of the Midsouth PLLC CurrentSince Feb 10, 2020 Accepting new patients
G I Diagnostic and Therapeutic Center LLC Current Accepting new patients

Locations

Gastro Onegovt Arhcl
New York, NY 10087

3350 N Germantown Rd
Bartlett, TN 38133
Phone (901) 377-2111

2999 Centre Oak Way
Germantown, TN 38138
Phone (901) 684-5500

1310 Wolf Park Dr
Germantown, TN 38138
Phone (901) 624-5151

1324 Wolf Park Dr
Germantown, TN 38138
Phone (901) 755-9110

8000 Wolf River Blvd
Ste 200
Memphis, TN 38138
Phone (901) 684-5503

1325 Eastmoreland Ave
Ste 410
Memphis, TN 38104
Phone (901) 261-6650

Interoperability endpoints

  • Direct secure messaging: athornton22953@mlh.direct-ci.com

Organizations & group practices 2

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 5

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": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1306486519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 REGENTS WALK",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385809",
            "telephone_number": "901-826-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 REGENTS WALK",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381385809",
            "telephone_number": "901-826-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "AMANDA",
        "middle_name": "BLAIR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q055553",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.