Individual provider Active NPI

Amanda Ann Morgan, FNP-BC

  • Family Nurse Practitioner
  • Birchwood, TN
National Provider Identifier
1467935817
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24746 Issued in TN
Practice address
5625 Highway 60
Birchwood, TN 37308-5155
Phone
(423) 209-5540
NPI assigned
Sep 12, 2018
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 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 24746 TN Primary

Addresses

Primary practice location

5625 Highway 60
Birchwood, TN 37308-5155

Mailing address

921 E 3Rd St
Chattanooga, TN 37403-2102
Phone (423) 209-8000

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
I20190123004221 TN Practitioner - Nurse Practitioner 4880931245 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24746TNMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Clinic CurrentSince Sep 19, 2018 Accepting new patients
Restoration Clinic Family CurrentSince Sep 19, 2018 Accepting new patients
County of Hamilton CurrentSince Mar 3, 2024 Accepting new patients
Gastrointestinal Associates of Cleveland, PC Current Accepting new patients
Bradley Polk Walk in Clinic Family CurrentSince Sep 30, 2019 Accepting new patients

Locations

5625 Highway 60
Birchwood, TN 37308
Phone (423) 209-5540

17619 State Highway 58 N
Ste C
Decatur, TN 37322
Phone (423) 334-2300

119 White Water Dr
Ocoee, TN 37361
Phone (423) 299-9435

Interoperability endpoints

  • Direct secure messaging: amanda.morgan@164749367312388.direct.elationemr.com

Organizations & group practices 5

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1467935817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032102",
            "telephone_number": "423-209-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 HIGHWAY 60",
            "city": "BIRCHWOOD",
            "state": "TN",
            "postal_code": "373085155",
            "telephone_number": "423-209-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-04-12",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birchwood, TN

Sources for this page

Verify at the official NPI Registry.