Individual provider Active NPI

Amy B Talley, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1467524561
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12334 Issued in TN
Practice address
620 Skyline Dr
Jackson, TN 38301-3923
Phone
(731) 541-5000
Fax
(731) 660-8739
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN0000012334 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12334 TN Primary

Addresses

Primary practice location

620 Skyline Dr
Jackson, TN 38301-3923

Mailing address

327 Summar Dr
Jackson, TN 38301-3930
Phone (731) 265-6510

Other practice location 1

327 Summar Dr
Jackson, TN 38301-3930
Phone (731) 265-6510

Other practice location 2

210 Westwood Pl Ste 110
Brentwood, TN 37027-7554
Phone (615) 206-2462

Other practice location 3

24 Physicians Dr
Jackson, TN 38305-2070
Phone (731) 661-9825

Other identifiers 1

IdentifierTypeStateIssuer
1517419MedicaidTN

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
I20070424000500 TN Practitioner - Nurse Practitioner 8820193626 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health Providers II LLCGroup PAC ID 5395284616, 39 clinicians
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

1105 S Sunswept St
Union City, TN 38261-4370
Phone (731) 394-1145

4128 Old Jackson Rd
Bells, TN 38006-4261
Phone (731) 394-1145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000012334TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imind Geriatrics and Behavioral Health LLC Psychiatric/Mental Health CurrentSince Jan 15, 2025 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jun 6, 2022 Accepting new patients
Ultra Health LLC CurrentSince Oct 6, 2025 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince May 1, 2020 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Jun 6, 2022 Accepting new patients
Jackson Area Council on Alcoholism and Drug Dependency Past Accepting new patients
Stonebridge Medical Group, PLC Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

409 Park Ave
Adamsville, TN 38310
Phone (731) 541-4923

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

65 Murray Guard Dr
Jackson, TN 38305
Phone (731) 363-5584

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

1105 S Sunswept St
Union City, TN 38261
Phone (731) 885-6400

Interoperability endpoints

  • Direct secure messaging: atalley@landmarkhealth-direct.org
  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1467524561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 SUMMAR DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013930",
            "telephone_number": "731-265-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SKYLINE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013923",
            "telephone_number": "731-541-5000",
            "fax_number": "731-660-8739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Summar Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383013930",
            "country_code": "US",
            "telephone_number": "731-265-6510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Westwood Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370277554",
            "country_code": "US",
            "telephone_number": "615-206-2462",
            "fax_number": "833-983-2043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383052070",
            "country_code": "US",
            "telephone_number": "731-661-9825",
            "fax_number": "731-668-6757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "AMY",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000012334",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "12334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517419",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.