Individual provider Active NPI

Amanda Adams, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1407321102
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3638 Issued in 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
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 3638 TN Primary

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

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
I20200601001857 TN Practitioner - Physician Assistant 9234550104 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3638TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Health Network, PC CurrentSince May 24, 2021 Accepting new patients
Meharry Health Network, PC CurrentSince May 24, 2021 Accepting new patients
America's Family Doctors, PLLC PastSince Feb 2, 2020 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 (615) 527-4573

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIFAAA

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, 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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1407321102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GALLATIN PIKE STE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163702",
            "telephone_number": "866-378-5362",
            "fax_number": "866-981-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 GALLATIN PIKE STE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163702",
            "telephone_number": "866-378-5362",
            "fax_number": "866-981-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "AMANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.