Individual provider Active NPI

Amanda Deason, NP

  • Family Nurse Practitioner
  • Waverly, TN
National Provider Identifier
1831676840
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24464 Issued in TN
Practice address
451 Highway 13 S
Waverly, TN 37185-2109
Phone
(931) 296-0211
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24464 TN Primary

Addresses

Primary practice location

451 Highway 13 S
Waverly, TN 37185-2109

Mailing address

451 Highway 13 S
Waverly, TN 37185-2109
Phone (931) 296-0211

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
I20190110003188 TN Practitioner - Nurse Practitioner 3274879309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humphreys County Community Health Services, Inc. 3 clinicians
Perry County Medical Center Inc 8 clinicians

Practice addresses (Care Compare)

451 Hwy 13 S
Waverly, TN 37185-2109
Phone (931) 296-4203

7723 Clearview Church LN
Suite 100
Lyles, TN 37098-1672
Phone (931) 670-5520

Hospital & facility affiliations

  • Ascension Saint Thomas Three Rivers Hospital, Waverly, TN, CCN 441303
  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24464TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Humphreys County Community Health Services Inc CurrentSince Sep 1, 2025 Accepting new patients
Perry County Medical Center Inc Current Accepting new patients
Perry County Medical Center, Inc. CurrentSince Dec 10, 2018 Accepting new patients
Humphreys County Community Health Services, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Perry County Medical Center, Inc. CurrentSince Dec 10, 2018 Accepting new patients

Locations

115 E Brooklyn St
Linden, TN 37096
Phone (615) 589-2104

7723 Clearview Church Ln
Lyles, TN 37098
Phone (931) 670-0011

7723 Clearview Church Ln
Ste 100
Lyles, TN 37098
Phone (931) 670-5520

451 Highway 13 S
Waverly, TN 37185
Phone (931) 296-0211

Interoperability endpoints

  • Direct secure messaging: amanda.deason.1@7654.direct.athenahealth.com
  • Direct secure messaging: amanda.tidwell.p1@direct.trchg.nextgenshare.com

Organizations & group practices 6

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1831676840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HIGHWAY 13 S",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371852109",
            "telephone_number": "931-296-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HIGHWAY 13 S",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371852109",
            "telephone_number": "931-296-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASON",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, TN

Sources for this page

Verify at the official NPI Registry.