Individual provider Active NPI

Emily Amburn, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1942834494
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435
Phone
(865) 546-5111
Fax
(865) 374-2095
NPI assigned
Feb 24, 2020
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435

Mailing address

1819 Clinch Ave Ste 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

Other identifiers 1

IdentifierTypeStateIssuer
Q071477MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Amburn.emily@covenanthealth.cernerdirect.com

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
I20200619001867 TN Practitioner - Physician Assistant 8426470402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Brody School of Medicine at East Carolina University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Heart Group, Inc.Group PAC ID 4284761917, 20 clinicians

Practice addresses (Care Compare)

1819 W Clinch Ave
Suite 108
Knoxville, TN 37916-2435
Phone (865) 546-5111

1901 Clinch Ave
Knoxville, TN 37916-2307
Phone (865) 546-5111

744 Middle Creek Rd
Suite 114
Sevierville, TN 37862-5036
Phone (865) 546-5111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4089TNMDDoula

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Heart Group PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amburn.emily@covenanthealth.cernerdirect.com

Organizations & group practices 2

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1942834494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111",
            "fax_number": "865-374-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 CLINCH AVE STE 108",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162435",
            "telephone_number": "865-546-5111",
            "fax_number": "865-374-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURN",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q071477",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amburn.emily@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1819 Clinch Ave Ste 108",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379162435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.