Andrea Clayton Bain, APNC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17544 Issued in TN

Practice address

2367 Highway 43 S
Leoma, TN 38468-5209

Phone

(931) 766-2027

Fax

(855) 576-2925

NPI assigned

Apr 9, 2013

Last updated

Aug 5, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, AL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aandm Medical Clinic LLCGroup PAC ID 9234675471, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• A&M Medical Clinic LLC

  • Nurse Practitioner
  • Leoma, TN
  • NPI 1437991445
  Medicare reassignment Care Compare group NPD
• Express Med of Alabama LLC

  • Family Medicine Physician
  • Florence, AL
  • NPI 1215185996
  Medicare reassignment NPD
• Express Med of Tennessee, LLC

  • Rural Health Clinic/Center
  • Lawrenceburg, TN
  • NPI 1679534879
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crockett Hospital LLC

  dba Southern Tennessee Regional Health System Lawrenceburg

  • Rural Acute Care Hospital
  • Lawrenceburg, TN
  • NPI 1114003175
  Care Compare affiliation

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1669815759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384640435",
            "telephone_number": "931-766-2027",
            "fax_number": "855-576-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2367 HIGHWAY 43 S",
            "city": "LEOMA",
            "state": "TN",
            "postal_code": "384685209",
            "telephone_number": "931-766-2027",
            "fax_number": "855-576-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIN",
        "first_name": "ANDREA",
        "middle_name": "CLAYTON",
        "credential": "APNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&M Medical Clinic LLC
• Melissa H. Beard, M.S., CCC, SLP
• Jena Daniel
• Cynthia Freeman
• Olivia Gobble, LCSW
• Stacie C Hunt, CPM

• Family Nurse Practitioner in Leoma, TN
• Providers in Leoma, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.

Verify at the official NPI Registry.