Individual provider Active NPI

Amandi Nichole Proffitt, FNP-BC

  • Family Nurse Practitioner
  • Powell, TN
National Provider Identifier
1932568797
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000020460 Issued in TN
Practice address
417 E Emory Rd
Powell, TN 37849-3518
Phone
(865) 938-5411
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1932568797 TN
Family Nurse Practitioner 363LF0000X APN0000020460 TN Primary

Addresses

Primary practice location

417 E Emory Rd
Powell, TN 37849-3518

Mailing address

229 Interstate Dr
Ste 103
Crossville, TN 38555-2704
Phone (931) 210-5577

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
I20160428000757 TN Practitioner - Nurse Practitioner 3173822921 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Tennessee PCGroup PAC ID 2961428990, 82 clinicians

Practice addresses (Care Compare)

110 Majestic Grove Rd
Knoxville, TN 37920-6485
Phone (866) 389-2727

1200 Gallatin Pike S
Madison, TN 37115-4613
Phone (866) 389-2727

417 E Emory Rd
Powell, TN 37849-3518
Phone (866) 389-2727

570 Hwy 321 N
Lenoir City, TN 37771-6545
Phone (866) 389-2727

6005 Kingston Pike
Knoxville, TN 37919-6346
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
83.39
Improvement activities
40
Cost
80.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1932568797TNMDFamily Nurse Practitioner
APN0000020460TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Group, Inc CurrentSince Mar 13, 2016 Accepting new patients
Quick Care Clinic CurrentSince Sep 1, 2022 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Mar 13, 2016 Accepting new patients
Minuteclinic Primary Care Tennessee PLLC Family CurrentSince Jun 4, 2025 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Jan 11, 2024 Accepting new patients
Exac Care, PLLC CurrentSince Feb 28, 2017 Accepting new patients

Locations

229 Interstate Dr
Ste 103
Crossville, TN 38555
Phone (931) 210-5577

9220 Dutchtown Rd
Ste 104
Knoxville, TN 37923
Phone (865) 530-2873

6005 Kingston Pike
Knoxville, TN 37919
Phone (865) 389-2727

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

417 E Emory Rd
Powell, TN 37849
Phone (865) 938-5411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19304/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1932568797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 INTERSTATE DR",
            "address_2": "STE 103",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385552704",
            "telephone_number": "931-210-5577",
            "fax_number": "931-210-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E EMORY RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493518",
            "telephone_number": "865-938-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROFFITT",
        "first_name": "AMANDI",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "1932568797",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000020460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.