Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda G Jack

Individual provider Physician Assistant · NPI 1982432316

Amanda G Jack is a Physician Assistant in Mt Juliet, Tennessee. Qualified in 2024, 2 years ago. Practices with Urology Associates PC, a 43-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
2
Licensed in
TN
In the registry since
2024

Practice location Address checks out

77 Belinda Pkwy
Mt Juliet, TN 37122-4390
Phone: (615) 391-4394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6201 (TN)

Record details

NPI number1982432316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2024
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address77 Belinda Pkwy, Mount Juliet, TN 37122-4390

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Urology Associates Pc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mt Juliet