Individual provider Active NPI

Amanda Dreve, P.A.

  • Surgical Physician Assistant
  • Nashville, TN
National Provider Identifier
1326440199
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
2620 Issued in TN
Practice address
330 22ND Ave N
Nashville, TN 37203-1844
Phone
(615) 320-0007
Fax
(615) 902-3983
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 2620 TN Primary

Addresses

Primary practice location

330 22ND Ave N
Nashville, TN 37203-1844

Mailing address

PO Box 210127
Nashville, TN 37221-0127
Phone (615) 383-2443

Other identifiers 1

IdentifierTypeStateIssuer
Q009554MedicaidTN

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
I20141224001145 TN Practitioner - Physician Assistant 0143543157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurosurgical AssociatesGroup PAC ID 8022099142, 27 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 319
Nashville, TN 37203-1566
Phone 6159861256118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2620TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates Surgical CurrentSince Dec 24, 2021 Accepting new patients
Pediatrix Medical Group of Tennessee, P.C. Past Accepting new patients
Advanced Diagnostic Imaging, PC Surgical Past Accepting new patients

Locations

2400 Patterson St
Ste 319
Nashville, TN 37203

330 22nd Ave N
Nashville, TN 37203
Phone (615) 320-0007

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1326440199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210127",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372210127",
            "telephone_number": "615-383-2443",
            "fax_number": "615-383-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031844",
            "telephone_number": "615-320-0007",
            "fax_number": "615-902-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREVE",
        "first_name": "AMANDA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009554",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.