Amanda Adams, PA-C
Individual provider Active NPI Physician Assistant · Nashville, TN
NPI 1407321102 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1407321102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3638 (TN)
- Practice address
- 2700 Gallatin Pike Ste a
Nashville, TN 37216-3702 - Phone
- (866) 378-5362
- Fax
- (866) 981-1856
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200601001857 | TN | Practitioner - Physician Assistant | 9234550104 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3638 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Health Network, PC | Current |
Accepting new patients | |
| Meharry Health Network, PC | Current |
Accepting new patients | |
| America'S Family Doctors, PLLC | Past |
Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
438 N Cleveland St
Memphis, TN 38104
Phone (866) 364-8944
2700 Gallatin Pike
Ste A
Nashville, TN 37216
Phone (248) 763-3432
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIFAAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3638 | TN | Yes |
Addresses
Primary practice location
2700 Gallatin Pike Ste a
Nashville, TN 37216-3702
Mailing address
2700 Gallatin Pike Ste a
Nashville, TN 37216-3702
Phone (866) 378-5362
Other providers in Nashville, TN
- Brittany S Adamiak
- Adams & Seaton Pediatric Dentistry
- David Christopher Adams-Chunn
- Allison N Adams
- Alphonse Edward Adams
- Amy Adams
- Amy Kate Adams
- Amy Lee Adams
- Candace Adams
- Carla C Adams
All providers in Nashville, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.