Amanda Ruth Fuller, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Huntingdon, TN
NPI 1891048765 · NPPES record last updated Jun 30, 2026
Key facts
- NPI
- 1891048765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17089 (TN)
- Practice address
- 3493 Veterans Dr N Ste C
Huntingdon, TN 38344-6230 - Phone
- (731) 986-2933
- Fax
- (731) 986-2938
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Evans Medical Clinic, PLLC
Practice addresses (Care Compare)
3493 Veterans Dr N
Suite C
Huntingdon, TN 38344-6230
Phone (731) 986-2933
Hospital & facility affiliations
- Volunteer Home Care
- Extendicare Home Health of West TN
- Amedisys Home Health Care
- Baptist Memorial Home Care
- Tennessee Quality Care - Home Health
- Baptist Memorial Hospital - Carroll County
- West Tennessee Healthcare Henry County Hospital
- Jackson-Madison County General Hospital
- West Tennessee Healthcare Camden Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121205000167 | TN | Practitioner - Nurse Practitioner | 4880846450 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000017089 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry County Medical Center | Current |
Accepting new patients | |
| Evans Medical Clinic, PLLC | Current |
Accepting new patients | |
| Central Tennessee Ear Nose & Throat | Current |
Accepting new patients | |
| Henry County Medical Center | Current |
Accepting new patients | |
| Eagle Creek Emergency Group, PC | Nurse Practitioner | Current |
Accepting new patients |
Locations
787 Weatherly Dr
Ste 200
Clarksville, TN 37043
Phone (800) 668-9410
3493 Veterans Dr N
Ste C
Huntingdon, TN 38344
Phone (731) 668-4455
300 Hospital Cir
Ste 200
Paris, TN 38242
Phone (731) 644-8460
1015 Kelley Dr
Ste 200
Paris, TN 38242
Phone (731) 644-2271
301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220
Interoperability endpoints
- afuller23363@direct.bmhcc.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240001
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.240000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17089 | TN | Yes |
Addresses
Primary practice location
3493 Veterans Dr N Ste C
Huntingdon, TN 38344-6230
Mailing address
350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 226-4003
Other practice location 1
631 Rb Wilson Dr
Huntingdon, TN 38344-1727
Phone (731) 986-7021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q001034 | Medicaid | TN | |
| Q054963 | Medicaid | TN |
Other providers in Huntingdon, TN
- Thomas Paul Evans
- Emily Smothers Ezell
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- Charles Davis Ford
- Brenda Fuller
- Heather Anne Garrett
- GTW, LLC
- David Michael Hall
- Carrie Hanser
All providers in Huntingdon, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.