Individual provider Active NPI

Amber Davidson

  • Medical Physician Assistant
  • Greenfield, TN
National Provider Identifier
1891334926
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4329 Issued in TN
Practice address
739 Lynn Point Rd
Greenfield, TN 38230-4003
Phone
(731) 514-6025
NPI assigned
Jan 6, 2020
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4329 TN
Medical Physician Assistant 363AM0700X 4329 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

739 Lynn Point Rd
Greenfield, TN 38230-4003

Mailing address

205A Hospital Dr
MC Kenzie, TN 38201-1649
Phone (731) 352-7907

Other practice location 1

205A Hospital Dr
Mc Kenzie, TN 38201-1649
Phone (731) 352-7907

Other practice location 2

1894 Cedar St
Mc Kenzie, TN 38201-2206
Phone (731) 207-6496

Other practice location 3

108 Courtright Rd
Martin, TN 38237-1607
Phone (731) 281-4183

Other practice location 4

1731 S Meridian St
Greenfield, TN 38230-1827
Phone (731) 678-0055

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
I20201208001963 TN Practitioner - Physician Assistant 4981016367 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Medical Center PCGroup PAC ID 2365427853, 32 clinicians

Practice addresses (Care Compare)

1731 S Meridan St
Greenfield, TN 38230-1827
Phone (731) 352-7907

1894 Cedar St
MC Kenzie, TN 38201-2206
Phone (731) 352-7907

205 A Hospital Dr
MC Kenzie, TN 38201-2024
Phone (901) 352-7907

205 Hospital Dr
Suite a
MC Kenzie, TN 38201-2024

205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Phone (731) 352-7907

811 Morrow St
Suite 207
Dresden, TN 38225-1847
Phone (731) 364-4900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 25, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 25, 2020 Accepting new patients
McKenzie Medical Center PC Physician Assistant Current Accepting new patients
McKenzie Medical Center PC CurrentSince Jul 22, 2023 Accepting new patients
McKenzie Medical Center PC CurrentSince Jul 22, 2023 Accepting new patients
Martin Medical Center, P.C. Past Accepting new patients

Locations

30810 Broad St
Bruceton, TN 38317
Phone (731) 586-4800

306 Highway 641 N
Camden, TN 38320
Phone (731) 213-2344

811 Morrow St
Ste 207
Dresden, TN 38225
Phone (731) 364-4900

105 N Cedar St
Gleason, TN 38229
Phone (731) 648-5634

205 Court Sq
#A
Huntingdon, TN 38344
Phone (731) 535-5765

108 Courtright Rd
Martin, TN 38237
Phone (731) 281-4183

175 Wildcat Ln
Mc Kenzie, TN 38201
Phone (731) 352-4027

1894 Cedar St
Mc Kenzie, TN 38201
Phone (731) 207-6496

205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429

205 Hospital Dr
Ste C
Mc Kenzie, TN 38201
Phone (731) 207-8560

205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820

Interoperability endpoints

  • Direct secure messaging: adavidson587439@direct.bmhcc.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1891334926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205A HOSPITAL DR",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382011649",
            "telephone_number": "731-352-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 LYNN POINT RD",
            "city": "GREENFIELD",
            "state": "TN",
            "postal_code": "382304003",
            "telephone_number": "731-514-6025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205A Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382011649",
            "country_code": "US",
            "telephone_number": "731-352-7907",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1894 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382012206",
            "country_code": "US",
            "telephone_number": "731-207-6496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Courtright Rd",
            "address_purpose": "LOCATION",
            "city": "Martin",
            "state": "TN",
            "postal_code": "382371607",
            "country_code": "US",
            "telephone_number": "731-281-4183",
            "fax_number": "731-281-4194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1731 S Meridian St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "TN",
            "postal_code": "382301827",
            "country_code": "US",
            "telephone_number": "731-678-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4329",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4329",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, TN

Sources for this page

Verify at the official NPI Registry.