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

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 and National Provider Directory roles.

• West Tennessee Medical Group Inc

  • Internal Medicine Physician
  • Jackson, TN
  • NPI 1053615955
  Medicare reassignment NPD
• Gastroenterology Center of the Midsouth PLLC

  • Gastroenterology Physician
  • Germantown, TN
  • NPI 1417932492
  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": "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"
        },
        {
            "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"
        }
    ],
    "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.