Basic Information
| Provider Information | |||||||||
| NPI: | 1932100328 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HIX | ||||||||
| FirstName: | AMY | ||||||||
| MiddleName: | SPEARS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 501 GREAT CIRCLE ROAD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37228 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9317389211 | ||||||||
| FaxNumber: | 9317384330 | ||||||||
| Practice Location | |||||||||
| Address1: | 120 WALNUT COMMONS LN | ||||||||
| Address2: | SUITE C | ||||||||
| City: | COOKEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 385016035 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9315265777 | ||||||||
| FaxNumber: | 9315269749 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2005 | ||||||||
| LastUpdateDate: | 08/17/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 36136 | TN | Y | Allopathic & Osteopathic Physicians | Family Medicine | 208M00000X | 36136 | TN | N | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 1508951 | 05 | TN | MEDICAID | 4105492 | 05 | TN | MEDICAID |