Individual provider Active NPI

Amy Akridge, FNP

  • Family Nurse Practitioner
  • Jefferson City, TN
National Provider Identifier
1407469919
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28305 Issued in TN
Practice address
657 E Broadway Blvd Ste C
Jefferson City, TN 37760-4949
Phone
(865) 475-9062
Fax
(865) 475-9063
NPI assigned
Aug 25, 2020
Last updated
May 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28305 TN Primary

Addresses

Primary practice location

657 E Broadway Blvd Ste C
Jefferson City, TN 37760-4949

Mailing address

657 E Broadway Blvd Ste C
Jefferson City, TN 37760-4949
Phone (865) 475-9062

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
I20210421003015 TN Practitioner - Nurse Practitioner 5496163966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1326 Papermill Pointe Way
Knoxville, TN 37909-1903

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28305TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Wound Care of Tennessee, PC Family CurrentSince Nov 25, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 5, 2021 Accepting new patients
Associated Wound Specialists PC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 5, 2021 Accepting new patients
Premier Wound Care of Tennessee, PC CurrentSince Nov 25, 2025 Accepting new patients
Associated Wound Specialists PC Family Current Accepting new patients
Mountain Medical Services PLLC Family PastSince Aug 1, 2020 Accepting new patients

Locations

2103 Forest Dr
Ste 5
Gray, TN 37615
Phone (423) 477-2885

1326 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 219-3506

1328 Papermill Pointe Way
Knoxville, TN 37909
Phone (865) 212-0530

1907 W Morris Blvd
Ste A200
Morristown, TN 37813
Phone (423) 522-8700

291 S Daisy St
Morristown, TN 37813
Phone (423) 616-8315

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1407469919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD STE C",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604949",
            "telephone_number": "865-475-9062",
            "fax_number": "865-475-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E BROADWAY BLVD STE C",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377604949",
            "telephone_number": "865-475-9062",
            "fax_number": "865-475-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKRIDGE",
        "first_name": "AMY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.