Active NPI
Amanda Bright, PA-C
- Physician Assistant
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006386
- Practice address
- 1802 Braeburn Dr
Salem, VA 24153 - Phone
- (540) 776-2020
- NPI assigned
- Jul 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110006386 | VA | Primary |
Addresses
Primary practice location
1802 Braeburn Dr
Salem, VA 24153
Mailing address
2000 Health Park Dr FL HP2
Brentwood, TN 37027-4525
Phone (615) 373-7600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00372527 | Medicaid | MS | |
| 2398377 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155
1401 Centerville Rd
Tallahassee, FL 32308-4639
1802 Braeburn Dr
Salem, VA 24153-7357
1900 Electric Rd
Salem, VA 24153-7474
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006386 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients |
Locations
15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105
1405 Centerville Rd
Ste 5000
Tallahassee, FL 32308
Phone (850) 877-7886
1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360
Interoperability endpoints
- amanda.bright@hca6.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
dba TMH Physician Partners
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
dba TMHPP Anesthesiology PCB
- Anesthesiology Physician
- Panama City Beach, FL
- NPI 1992532477
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewisgale Hospital Alleghany
- Psychiatric Hospital Unit
- Low Moor, VA
- NPI 1285932962
-
dba Lewisgale Hospital Alleghany
- General Acute Care Hospital
- Low Moor, VA
- NPI 1538100029
-
dba Lewisgale Medical Center
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
-
dba Lewisgale Hospital Montgomery
- General Acute Care Hospital
- Blacksburg, VA
- NPI 1275570376
-
dba Lewisgale Hospital Pulaski
- General Acute Care Hospital
- Pulaski, VA
- NPI 1205882396
-
dba LewisGale Hospital Pulaski
- Psychiatric Hospital Unit
- Pulaski, VA
- NPI 1477018893
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1740665470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR FL HP2",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274525",
"telephone_number": "615-373-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "24153",
"telephone_number": "540-776-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIGHT",
"first_name": "AMANDA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-23",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00372527",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2398377",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.