Individual provider Active NPI

Amy Lynn Hedrick, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1912366071
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2951 Issued in TN
Practice address
10142 Parkside Dr Ste 500
Knoxville, TN 37922-1954
Phone
(865) 393-0040
Fax
(800) 783-1273
NPI assigned
Feb 17, 2016
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2951 TN Primary
Physician Assistant 363A00000X PA9113066 FL

Addresses

Primary practice location

10142 Parkside Dr Ste 500
Knoxville, TN 37922-1954

Mailing address

10142 Parkside Dr Ste 500
Knoxville, TN 37922-1954
Phone (865) 393-0040

Other practice location 1

30115 State Road 52
Suite 300
San Antonio, FL 33576
Phone (865) 393-0040

Other names 1

  • Amy Lynn Merriman Former name

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
I20160405001450 TN Practitioner - Physician Assistant 4486951563 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2951TNMDOccupational Therapy Assistant
PA9113066FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Mar 11, 2016 Accepting new patients
Summit Medical Group, PLLC CurrentSince Mar 11, 2016 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients
Abercrombie Radiological Consultants Inc Past Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

11657 Chapman Hwy
Seymour, TN 37865
Phone (865) 577-4836

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1912366071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221954",
            "telephone_number": "865-393-0040",
            "fax_number": "800-783-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10142 PARKSIDE DR STE 500",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221954",
            "telephone_number": "865-393-0040",
            "fax_number": "800-783-1273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30115 State Road 52",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "FL",
            "postal_code": "33576",
            "country_code": "US",
            "telephone_number": "865-393-0040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2951",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113066",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "MERRIMAN",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.