Individual provider Active NPI

Amy Gentry

  • Psychiatric/Mental Health Nurse Practitioner
  • Powell, TN
National Provider Identifier
1417527672
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29780 Issued in TN
Practice address
7714 Conner Rd Ste 105
Powell, TN 37849-3559
Phone
(865) 947-6220
Fax
(865) 512-1069
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29780 TN Primary

Addresses

Primary practice location

7714 Conner Rd Ste 105
Powell, TN 37849-3559

Mailing address

1923 Sulphur Springs Rd
Morristown, TN 37813-5654
Phone (423) 317-9344

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
I20210805000079 TN Practitioner - Nurse Practitioner 6507260072 Reassigns benefits to 2 organizations

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
Knoxville Center for Behavioral Medicine LLCGroup PAC ID 0244624195, 20 clinicians
Cherokee Health SystemsGroup PAC ID 3577474295, 128 clinicians

Practice addresses (Care Compare)

1240 Tennova Medical Way
Knoxville, TN 37909-3120
Phone (865) 444-3770

815 W 5TH N St
Morristown, TN 37814-3810
Phone (423) 586-5032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29780TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Center for Behavioral Medicine LLC CurrentSince Feb 12, 2026 Accepting new patients
Cherokee Health Systems CurrentSince Jun 28, 2021 Accepting new patients
Cherokee Health Systems CurrentSince Jun 28, 2021 Accepting new patients
The Cornerstone of Recovery, Inc. Past Accepting new patients

Locations

255 E Watt St
Alcoa, TN 37701
Phone (865) 273-1616

2018 Western Ave
Knoxville, TN 37921
Phone (865) 544-0406

1240 Tennova Medical Way
Knoxville, TN 37909
Phone (865) 444-3770

1923 Sulphur Springs Rd
Morristown, TN 37813

815 W 5th North St
Morristown, TN 37814
Phone (423) 586-5032

215 Hedrick Dr
Newport, TN 37821
Phone (423) 623-5301

7714 Conner Rd
Ste 105
Powell, TN 37849
Phone (865) 947-6220

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1417527672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 SULPHUR SPRINGS RD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378135654",
            "telephone_number": "423-317-9344",
            "fax_number": "423-714-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7714 CONNER RD STE 105",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493559",
            "telephone_number": "865-947-6220",
            "fax_number": "865-512-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTRY",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.