Amanda A Amick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1868 Issued in TN

Practice address

100 Blythewood Dr Ste a
Columbia, TN 38401-4828

Phone

(931) 381-1920

NPI assigned

Aug 12, 2010

Last updated

Apr 29, 2021By 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

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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring Hill Dermatology PLCGroup PAC ID 4486755717, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

55.66 of 100Reported as group

Quality

68.33

Promoting interoperability

0

Improvement activities

40

Cost

67.19

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Spring Hill Dermatology PLC

  dba Skin & Allergy Center

  • Dermatology Physician
  • Spring Hill, TN
  • NPI 1003028770
  Medicare reassignment Care Compare group
• Southeastern Dermatology Group PA

  dba Dermatology Specialists

  • Dermatology Physician
  • Panama City, FL
  • NPI 1518972231
  NPD (past)

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1699080838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BLYTHEWOOD DR STE A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014828",
            "telephone_number": "931-381-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BLYTHEWOOD DR STE A",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014828",
            "telephone_number": "931-381-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMICK",
        "first_name": "AMANDA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breyonna N Alred, N/A
• Dorothy L Altrogge, BSN, RN
• Ambiance Care LLC
• Karen Anne Ambrose, LMSW
• Revrey Amey, NURSE PRACTITIONER
• Jon Blake Amonette
• Tricia Marlene Amonette
• Jean Marie Amore
• Anderson Medical
• Anderson Medical

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.