Individual provider Active NPI

Amber Gephart, FNP-C

  • Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1356022941
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11023402 Issued in FL
Practice address
113 Seaboard LN
Franklin, TN 37067-8281
Phone
(615) 721-7020
NPI assigned
Jul 27, 2023
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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 APRN11023402 FL Primary

Addresses

Primary practice location

113 Seaboard LN
Franklin, TN 37067-8281

Mailing address

2706 Colewood LN
Dover, FL 33527-6364

Other names 1

  • Amber Dye Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 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
I20231213000487 FL Practitioner - Nurse Practitioner 4688023823 Reassigns benefits to 4 organizations
I20260328000361 GA Practitioner - Nurse Practitioner 4688023823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Wound Care LLCGroup PAC ID 0547780454, 3 clinicians
Procare Wellness Network IncGroup PAC ID 0547644841, 13 clinicians

Practice addresses (Care Compare)

2026 5TH Ave N
St Petersburg, FL 33713-8078
Phone (941) 281-5756

340 Eisenhower Dr
BLDG 500
Savannah, GA 31406-1600
Phone (912) 348-3818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11023402FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Precisely of Northside LLC CurrentSince Oct 10, 2023 Accepting new patients
Ace Wound Care LLC CurrentSince Feb 3, 2025 Accepting new patients
Algep Nurse Practitioner CurrentSince Dec 15, 2024 Accepting new patients
Saberi Advanced Wound Care LLC CurrentSince Nov 11, 2023 Accepting new patients
Heal Precisely of Tampa Bay LLC CurrentSince Oct 10, 2023 Accepting new patients

Locations

2026 5th Ave N
St Petersburg, FL 33713
Phone (727) 954-5525

5880 49th St N
Ste N201
St Petersburg, FL 33709
Phone (727) 300-0405

5880 49th St N
Ste N203
St Petersburg, FL 33709
Phone (727) 300-0405

Organizations & group practices 6

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": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1356022941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 COLEWOOD LN",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "335276364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SEABOARD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678281",
            "telephone_number": "615-721-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEPHART",
        "first_name": "AMBER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11023402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.