Individual provider Active NPI

Amanda Taylor, FNP

  • Family Nurse Practitioner
  • Middleton, TN
National Provider Identifier
1669861282
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19766 Issued in TN
Practice address
702 S Main St
Middleton, TN 38052-3615
Phone
(731) 376-1311
Fax
(731) 376-1314
NPI assigned
Jan 20, 2015
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19766 TN Primary
Registered Nurse 163W00000X 0000168676 TN

Addresses

Primary practice location

702 S Main St
Middleton, TN 38052-3615

Mailing address

702 S Main St
Middleton, TN 38052-3615
Phone (731) 376-1311

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
I20160203000720 TN Practitioner - Nurse Practitioner 0749584217 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Practice addresses (Care Compare)

1190 N State St
Jackson, MS 39202-2413
Phone (769) 243-6141

2781 C T Switzer Sr Dr
Suite 100
Biloxi, MS 39531-4535
Phone (769) 243-6141

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000168676TNMDRegistered Nurse
19766TNMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Medicine, LLC CurrentSince Apr 1, 2024 Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Dec 6, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 30, 2024 Accepting new patients
Anew Family Medical PLLC CurrentSince Jun 27, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jul 30, 2024 Accepting new patients
Anew Family Medical PLLC CurrentSince Jun 27, 2022 Accepting new patients
Wound Management Specialists, LLC CurrentSince Sep 29, 2025 Accepting new patients
Winston Medical Clinic LLC PastSince Jun 5, 2026 Accepting new patients

Locations

2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632

778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

610 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 635-8189

111 Front St
Henderson, TN 38340
Phone (731) 989-2829

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

702 S Main St
Middleton, TN 38052
Phone (731) 376-1311

79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189

2017 S College St
#C
Trenton, TN 38382
Phone (731) 222-5000

Interoperability endpoints

  • Direct secure messaging: amanda.taylor.p1@direct.hcchc.nextgenshare.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1669861282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 S MAIN ST",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "380523615",
            "telephone_number": "731-376-1311",
            "fax_number": "731-376-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 S MAIN ST",
            "city": "MIDDLETON",
            "state": "TN",
            "postal_code": "380523615",
            "telephone_number": "731-376-1311",
            "fax_number": "731-376-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19766",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000168676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, TN

Sources for this page

Verify at the official NPI Registry.