AMANDA D. INGRAM MD – NPI #1497901854
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

AMANDA INGRAM is a radiologist located in KINGSPORT, TN. NPPES has assigned the NPI number 1497901854 to AMANDA INGRAM on August 15, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 8 years ago on Oct 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMANDA INGRAM below.

NPI Profile for
AMANDA D. INGRAM

NPI Number
1497901854
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMANDA D. INGRAM
Credentials
MD
Primary location
103 W STONE DR
KINGSPORT, TN 37660
Phone: (423) 968-1144 Fax:
1 Other location(s):
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone: (865) 305-9661
Fax: (865) 305-6148
Mailing address
3053 W STATE ST
BRISTOL, TN 37620-1720
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for AMANDA INGRAM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTNQ001537
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
TN 49584

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE - Graduated 2007
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AMANDA INGRAM is affiliated with the following medical group(s):
  • HOSPITAL
    • GREENEVILLE COMMUNITY HOSPITAL
      1420 TUSCULUM BOULEVARD
      GREENEVILLE, TN 37745
    • LONESOME PINE HOSPITAL
      1990 HOLTON AVENUE EAST
      BIG STONE GAP, VA 24219
    • WELLMONT HOLSTON VALLEY MEDICAL CENTER
      130 WEST RAVINE ROAD
      KINGSPORT, TN 37662

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