Provider Demographics
NPI:1932100328
Name:HIX, AMY SPEARS (MD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:SPEARS
Last Name:HIX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:501 GREAT CIRCLE ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37228
Mailing Address - Country:US
Mailing Address - Phone:931-738-9211
Mailing Address - Fax:931-738-4330
Practice Address - Street 1:120 WALNUT COMMONS LN
Practice Address - Street 2:SUITE C
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-6035
Practice Address - Country:US
Practice Address - Phone:931-526-5777
Practice Address - Fax:931-526-9749
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN36136207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1508951Medicaid
TN4105492Medicaid
TN4105492Medicaid