| Amanda Stovall, | |
|
1805 N Jackson St, Tullahoma, TN 37388-2290 | |
| (615) 322-5000 | |
| Not Available |
| Full Name | Amanda Stovall |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1805 N Jackson St, Tullahoma, Tennessee |
| 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 |
|---|---|---|---|
| 1457006249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 31154 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Care | Winchester, TN | Home health agency |
| Suncrest Home Health | Manchester, TN | Home health agency |
| Vanderbilt University Medical Center | Nashville, TN | Hospital |
| Tennova Healthcare-harton | Tullahoma, TN | Hospital |
| Tennova Healthcare-shelbyville | Shelbyville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vanderbilt Integrated Providers Llc | 7012817919 | 71 |
| Entity Name | Vanderbilt Integrated Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982625091 PECOS PAC ID: 7012817919 Enrollment ID: O20040108001021 |
| Entity Name | Amg-southern Tennessee Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164789467 PECOS PAC ID: 5991765943 Enrollment ID: O20041013001206 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Stovall, 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Amanda Stovall, 1805 N Jackson St, Tullahoma, TN 37388-2290 Ph: (615) 322-5000 |
Sharon Lynn Gilliam, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Jack Farrar Ln, Tullahoma, TN 37388 Phone: 931-455-2766 Fax: 931-455-2829 | |
Kellie Marsh, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Ledford Mill Rd, Tullahoma, TN 37388 Phone: 931-841-3311 | |
Melissa Ann Perry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 710 Kings Ln, Tullahoma, TN 37388 Phone: 931-962-4040 | |
Mia Jones Clermont, APRN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1330 Cedar Ln Ste 900, Tullahoma, TN 37388 Phone: 931-455-2674 | |
Robbie M. Webb, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1801 N Jackson St, Tullahoma, TN 37388 Phone: 931-461-4921 Fax: 931-461-4677 | |
Kacy Mikala Kirk, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1803 N Jackson St, Tullahoma, TN 37388 Phone: 931-455-3400 | |
Kristen George, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Westside Dr Ste 4, Tullahoma, TN 37388 Phone: 931-993-2508 Fax: 877-832-3242 |