Individual provider Active NPI

Amber Madison Lang, AGACNP / FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1306493887
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000026272 Issued in TN
Practice address
2002 Court Ave
Memphis, TN 38104-2703
Phone
(601) 728-0184
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0000026272 TN
Family Nurse Practitioner 363LF0000X 0000026272 TN Primary

Addresses

Primary practice location

2002 Court Ave
Memphis, TN 38104-2703

Mailing address

2002 Court Ave
Memphis, TN 38104-2703
Phone (601) 728-0184

Other names 1

  • Amber Nicole Madison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200126000024 TN Practitioner - Nurse Practitioner 1658706353 Reassigns benefits to 3 organizations
I20240328001053 MS Practitioner - Nurse Practitioner 1658706353 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Olive Branch Emergency Physicians LLCGroup PAC ID 9335598739, 27 clinicians

Practice addresses (Care Compare)

200 Hwy 30 W
New Albany, MS 38652-3112
Phone (601) 538-2591

4250 Bethel Rd
Olive Branch, MS 38654-8737
Phone (662) 932-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000026272TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carr PLLC CurrentSince Dec 1, 2019 Accepting new patients
Express Care of Cleveland, LLC CurrentSince Jan 3, 2024 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Dec 25, 2024 Accepting new patients
T M Carr MD PC CurrentSince Dec 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

1115 N 2nd St
Ste 1
Booneville, MS 38829
Phone (662) 480-4141

609 N Davis Ave
Ste 105
Cleveland, MS 38732
Phone (662) 579-3958

200 State Highway 30 W
New Albany, MS 38652
Phone (601) 534-7631

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

3558A W Main St
Tupelo, MS 38801
Phone (662) 346-8091

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Organizations & group practices 5

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 1

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1306493887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 COURT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042703",
            "telephone_number": "601-728-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 COURT AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042703",
            "telephone_number": "601-728-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANG",
        "first_name": "AMBER",
        "middle_name": "MADISON",
        "name_prefix": "Ms.",
        "credential": "AGACNP / FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "0000026272",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000026272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "MADISON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.