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Amanda G Jack

Physician Assistant β€’ Mt Juliet, TN

Active NPI 1982432316 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

77 Belinda Pkwy
Mt Juliet, TN 371224390

Call 6153914394 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

77 Belinda Pkwy

Mt Juliet, TN 371224390

Telephone 6153914394
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Urology Associates Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Open Payments general payments, program year 2025

All general payments: $2,060.50 across 65 records.

By nature of payment

  • Food and Beverage: $1,960.51 across 64 records.
  • Education: $99.99 across 1 record.

Reporting-company totals (3 largest of 17)

  • Sumitomo Pharma America, Inc.: $490.21 across 23 records.
  • Janssen Pharmaceuticals, Inc: $313.06 across 7 records.
  • Boston Scientific Corporation: $285.73 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Amanda Jack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Amanda Jack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mt Juliet and Tennessee

13 active clinicians are listed under Physician Assistant with a practice address in Mt Juliet, TN (3,057 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mt Juliet

7.7% of these 13 clinicians have the CMS telehealth indicator.

76.9% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 65 records totaling $2,060.50.

Manufacturer Payment Nature Product Type Amount ($)
Valencia Technologies Corporation
Food and Beverage
Cash or cash equivalent
eCoin Device Kit General $149.40
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $148.35
Janssen Pharmaceuticals, Inc
Education
In-kind items and services
ERLEADA General $99.99
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Axonics General $92.55
AXOGEN
Food and Beverage
In-kind items and services
β€” General $79.16
Valencia Technologies Corporation
Food and Beverage
Cash or cash equivalent
eCoin Device Kit General $63.39
UROGEN PHARMA, INC.
Food and Beverage
In-kind items and services
JELMYTO General $40.20
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $37.76
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $36.97
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $36.77
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $36.12
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $35.53
Valencia Technologies Corporation
Food and Beverage
Cash or cash equivalent
eCoin Device Kit General $34.73
Boston Scientific Corporation
Food and Beverage
In-kind items and services
SpaceOAR VUE System - 10mL General $34.32
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
WELIREG General $31.55
UROGEN PHARMA, INC.
Food and Beverage
In-kind items and services
ZUSDURI General $30.31
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
ERLEADA General $29.92
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $29.91
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $29.85
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $29.70
Sumitomo Pharma America, Inc.
Food and Beverage
In-kind items and services
GEMTESA General $29.67
ABBVIE INC.
Food and Beverage
In-kind items and services
BOTOX General $29.22
Procept Biorobotics Corporation
Food and Beverage
In-kind items and services
AQUABEAM ROBOTIC SYSTEM General $28.50
Myriad Genetic Laboratories, Inc.
Food and Beverage
In-kind items and services
PROLARIS General $28.27
Inspire Medical Systems, Inc.
Food and Beverage
In-kind items and services
INSPIRE General $27.94

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES TN 6201

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241121002796

Enrollment State Jurisdiction

TN

PECOS Control ID

9739614116

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Urology Associates Pc

2801 Charlotte Ave, Nashville, TN 372094035

Phone: 6152509200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1710118682

Doctor of Medicine (M.D.)

NPI 1720245301

Doctor of Medicine (M.D.)

NPI 1104187632

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 11, 2024

Registered at 77 BELINDA PKWY, MT JULIET, TN 371224390 (Tel: 6153914394)

πŸ“
Updated Business Mailing Address November 11, 2024

Registered at 77 BELINDA PKWY, MOUNT JULIET, TN 371224390 (Tel: 6155737546)

πŸ“
Updated Practice Location September 26, 2024

Registered at 345 COMPTON RD, MURFREESBORO, TN 371301352 (Tel: 6158958850)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2024

Physician Assistant (license number reported to NPPES: TN 6201)

βœ…
NPI Profile Active July 25, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 25, 2024

Registered at 928 GREEN VALLEY RD, MOUNT JULIET, TN 371222126 (Tel: 6155737546)

πŸ“
Business Mailing Address (Initial Record) July 25, 2024

Registered at 928 GREEN VALLEY RD, MOUNT JULIET, TN 371222126 (Tel: 6155737546)

πŸ‘€
Provider Name / Credentials (Initial Record) July 25, 2024

Recorded as AMANDA JACK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 25, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1982432316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2024
Last Update: April 30, 2025
Sole Proprietor: Yes

Other Physician Assistants in Mt Juliet

All Physician Assistants in Mt Juliet

Mailing Address

77 Belinda Pkwy

Mount Juliet, TN 371224390

Phone: 6155737546

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.