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

Amanda Maria Bahnam, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1013786219

Amanda Maria Bahnam, PHYSICIANASSISTANT is a Physician Assistant in Clarksville, Tennessee. Qualified in 2023, 3 years ago. Practices with Saint Thomas Medical Partners, a 584-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023

Practice location Address checks out

647 Dunlop Ln Ste 210
Clarksville, TN 37040-5165
Phone: (931) 502-3810
Fax: (931) 502-2512
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5867 (TN)

Record details

NPI number1013786219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 28, 2023
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Saint Thomas Medical Partners — 584 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Clarksville