Amanda Brianne Perry, PA-C
Individual provider Active NPI Physician Assistant · Westmoreland, TN
NPI 1992956114 · NPPES record last updated Jun 16, 2017
Key facts
- NPI
- 1992956114
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1657 (TN)
- Practice address
- 1124 New Highway 52 E
Westmoreland, TN 37186-5060 - Phone
- (615) 644-2000
- Fax
- (615) 644-2078
- NPI assigned
- Oct 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hope Family Health Services
Practice addresses (Care Compare)
1124 New Hwy 52 E
Westmoreland, TN 37186-5032
1124 New Hwy 52 E
Westmoreland, TN 37186-5060
Phone (615) 644-2000
Hospital & facility affiliations
- Highpoint Health-Sumner With Ascension Saint Thoma
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 |
|---|---|---|---|---|
| I20081120000275 | TN | Practitioner - Physician Assistant | 8527128586 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1657 | TN | MD | Physician Assistant |
Interoperability endpoints
- amanda.perry@hfh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1657 | TN | Yes |
Addresses
Primary practice location
1124 New Highway 52 E
Westmoreland, TN 37186-5060
Mailing address
1124 New Highway 52 E
Westmoreland, TN 37186-5060
Phone (615) 644-2000
Other providers in Westmoreland, TN
- Nulife Physical Therapy, Inc
- Oldham Drugs, Incorporated
- One to One Health PLLC
- Kaitlin Pardo
- Amy Beth Parker
- Chaundel L Presley
- R-Evolution Health
- Byron L Reid
- Richard Maurice Reinsch
- Laura L Rice
All providers in Westmoreland, TN · Physician Assistant 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 16, 2017. 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.