Individual provider Active NPI

Amanda Diane Bright

  • Physician Assistant
  • Campbellsville, KY
National Provider Identifier
1407189806
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 1229 Issued in KY
Practice address
105A Greenbriar Dr
Campbellsville, KY 42718-9617
Phone
(270) 465-3595
Fax
(270) 789-2044
NPI assigned
Sep 16, 2009
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 1229 KY Primary

Addresses

Primary practice location

105A Greenbriar Dr
Campbellsville, KY 42718-9617

Mailing address

105A Greenbriar Dr
Campbellsville, KY 42718-9617
Phone (270) 465-3595

Other practice location 1

363 Office Park Dr
Columbia, KY 42728-1392
Phone (270) 384-3939

Other names 1

  • Amanda Diane Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20100208000152 KY Practitioner - Physician Assistant 4486797867 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 B Greenbriar Dr
Campbellsville, KY 42718-9617
Phone (270) 465-3568

105 Greenbriar Dr
A
Campbellsville, KY 42718-9617
Phone (270) 465-3395

187 Will Walker Rd
Columbia, KY 42728-7436
Phone (270) 465-3595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.96 of 100Reported as group
Quality
62.41
Promoting interoperability
69
Improvement activities
40
Cost
71.3

Merit-based Incentive Payment System (MIPS)

Final score
92.9 of 100Reported as group
Quality
85.93
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 1229KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Regional Medical Group LLC CurrentSince Jan 23, 2011 Accepting new patients
Taylor Regional Medical Group LLC Physician Assistant CurrentSince Jan 23, 2011 Accepting new patients
Taylor Regional Medical Group, LLC CurrentSince Oct 5, 2016 Accepting new patients
Ewing-Ear, Nose & Throat Past Accepting new patients

Locations

105 Greenbriar Dr
Campbellsville, KY 42718
Phone (270) 283-4253

105 Greenbriar Dr
#A
Campbellsvlle, KY 42718
Phone (270) 465-3395

1698 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

67 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 465-2116

363 Office Park Dr
Columbia, KY 42728
Phone (270) 384-3939

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1407189806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105A GREENBRIAR DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189617",
            "telephone_number": "270-465-3595",
            "fax_number": "270-789-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105A GREENBRIAR DR",
            "city": "CAMPBELLSVILLE",
            "state": "KY",
            "postal_code": "427189617",
            "telephone_number": "270-465-3595",
            "fax_number": "270-789-2044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "363 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "KY",
            "postal_code": "427281392",
            "country_code": "US",
            "telephone_number": "270-384-3939",
            "fax_number": "270-384-3940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "AMANDA",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA 1229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "STEVENS",
            "middle_name": "DIANE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Campbellsville, KY

Sources for this page

Verify at the official NPI Registry.