Active NPI
Amanda L NG, NP
- Family Nurse Practitioner
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30220
- Practice address
- 301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2631 - Phone
- (423) 794-5590
- Fax
- (423) 794-5877
- NPI assigned
- Sep 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 30220 | TN | Primary |
| Nurse Practitioner | 363L00000X | 30220 | TN |
Addresses
Primary practice location
301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2631
Mailing address
PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 794-5890
Other names 1
- Amanda L Lundy
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 Med Tech Pkwy
Johnson City, TN 37604-2364
Phone (423) 794-5500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30220 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients |
Locations
301 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-6239
301 Med Tech Pkwy
Ste 120
Johnson City, TN 37604
Phone (423) 794-5590
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
4 Limited Centre St
Ste 103
Johnson City, TN 37604
Phone (423) 794-5890
1242 W Shipley Ferry Rd
Kingsport, TN 37663
Phone (423) 239-7300
Interoperability endpoints
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1578233235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632476",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632476",
"telephone_number": "423-794-5890",
"fax_number": "423-794-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MED TECH PKWY STE 120",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042631",
"telephone_number": "423-794-5590",
"fax_number": "423-794-5877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "AMANDA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-15",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "30220",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "30220",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "LUNDY",
"middle_name": "L",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.