Individual provider Active NPI

Amy Diane Freeman, PA-C

  • Surgical Physician Assistant
  • Nashville, TN
National Provider Identifier
1750616033
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1751 Issued in TN
Practice address
2400 Patterson St
Suite 319
Nashville, TN 37203-1562
Phone
(615) 986-1256
Fax
(615) 383-0853
NPI assigned
Oct 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1751 TN
Surgical Physician Assistant 363AS0400X 1751 TN Primary

Addresses

Primary practice location

2400 Patterson St
Suite 319
Nashville, TN 37203-1562

Mailing address

2021 Church St
Ste 200
Nashville, TN 37203-2087
Phone (615) 324-1600

Other identifiers 1

IdentifierTypeStateIssuer
1516056MedicaidTN

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
I20091123000380 TN Practitioner - Physician Assistant 6002955531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Sports Medicine and Orthopaedic Center PLCGroup PAC ID 8729009634, 90 clinicians

Practice addresses (Care Compare)

2004 Hayes St
Suite 200
Nashville, TN 37203-2689
Phone (615) 324-1600

356 24TH N Ave
Suite 200
Nashville, TN 37203-1519
Phone (615) 324-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1751TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Sports Medicine and Orthopaedic Center, PLC Surgical CurrentSince Nov 1, 2016 Accepting new patients

Locations

2004 Hayes St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

2021 Church St
Ste 200
Nashville, TN 37203
Phone (615) 284-2000

356 24th Ave N
Ste 200
Nashville, TN 37203
Phone (615) 329-2225

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.

Hospital & facility affiliations 2

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": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1750616033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "STE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032087",
            "telephone_number": "615-324-1600",
            "fax_number": "615-284-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST",
            "address_2": "SUITE 319",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031562",
            "telephone_number": "615-986-1256",
            "fax_number": "615-383-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "AMY",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1751",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1516056",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.