Amber D Fern, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1984 Issued in TN

Practice address

32 Legacy CV
Jackson, TN 38305-3154

Phone

(731) 415-6509

NPI assigned

Jul 29, 2011

Last updated

Aug 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gastroenterology Center of the Midsouth PLLC

  dba Associates In Gastroenterology

  • Gastroenterology Physician
  • Germantown, TN
  • NPI 1417932492
  Medicare reassignment
• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955
  Medicare reassignment
• Family Medical Clinic of Trezevant

  • Primary Care Clinic/Center
  • Jackson, TN
  • NPI 1215693171
  NPD
• G I Diagnostic and Therapeutic Center LLC

  • Endoscopy Clinic/Center
  • Germantown, TN
  • NPI 1760467732
  NPD
• Family Medical Clinic of Trezevant

  • Rural Health Clinic/Center
  • Trezevant, TN
  • NPI 1538703897
  NPD (past)

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1497033153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LEGACY CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053154",
            "telephone_number": "731-415-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LEGACY CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053154",
            "telephone_number": "731-415-6509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 US Highway 45 W",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383438503",
            "country_code": "US",
            "telephone_number": "731-784-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1022 Greystone Sq",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053580",
            "country_code": "US",
            "telephone_number": "731-300-2001",
            "fax_number": "731-240-8095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176C W University Pkwy # C",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383051616",
            "country_code": "US",
            "telephone_number": "731-660-6915",
            "fax_number": "731-668-4557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERN",
        "first_name": "AMBER",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1984",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fast Pace Medical Clinic PLLC
• FCD of Jackson, PLLC
• Feed Your Soul LLC
• Beverly Jan Ferguson, RN
• Lesa F Ferguson, APN
• Jessica M Ferrell, M.D.
• Heather N Fesmire, P.A.
• Jessica Fesmire, PTA
• Jack Harold Fields III, CRNA, DNP
• Kai B Fields, NP

• Physician Assistant in Jackson, TN
• Providers in Jackson, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.