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 | 6 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 | 219 |
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 |
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: Medicare Enrolled 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 | |
April E Crumpler, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1638 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-841-0500 | |
Holly A Scott, 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 | |
Denise Goodwin, DNP, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1638 Battlefield Pkwy, Fort Oglethorpe, GA 30742 Phone: 706-841-0500 Fax: 706-841-0502 |