| Amanda Davenport, NP-C | |
|
100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 | |
| (706) 858-2000 | |
| Not Available |
| Full Name | Amanda Davenport |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 100 Gross Crescent Cir, Fort Oglethorpe, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174018857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 24402 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tennessee Oncology Pllc | 4688586134 | 323 |
| Entity Name | Tennessee Oncology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811955917 PECOS PAC ID: 4688586134 Enrollment ID: O20031103000534 |
| Entity Name | Dx Mso Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 |
| Entity Name | Tnt Medical Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104331420 PECOS PAC ID: 0042574329 Enrollment ID: O20180514003010 |
| Entity Name | Emergency Medicine Services Of Tn, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720785884 PECOS PAC ID: 3173989837 Enrollment ID: O20230523000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Davenport, NP-C 2504 Maplewood Dr, Chattanooga, TN 37421-1312 Ph: (931) 247-6575 | Amanda Davenport, NP-C 100 Gross Crescent Cir, Fort Oglethorpe, GA 30742-3643 Ph: (706) 858-2000 |
Yissy Coralia Martinez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Mitchell Rd, Fort Oglethorpe, GA 30742 Phone: 706-866-5520 | |
Becky Cross, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2009 Old Lafayette Rd, Fort Oglethorpe, GA 30742 Phone: 706-866-5520 | |
Christie Case, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1638 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-841-0500 | |
Robbin Henon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2366 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-866-7384 Fax: 706-861-7003 | |
Michelle Kathryn Kadetz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-944-9018 | |
Helena Jakupovic, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2366 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-841-0150 |