AMANDA DAVIS INGRAM MD NPI 1497901854

NPI Information

  • NPI: 1497901854
  • Provider Name: AMANDA DAVIS INGRAM, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 103 W STONE DR
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 968-1144

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NPI Details

Amanda Davis Ingram, MD is a diagnostic radiology radiology in Kingsport, TN with 19 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Amanda Davis Ingram, MD NPI is 1497901854. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduation Year:2007

The provider's business location address is:

103 W STONE DR
KINGSPORT, TN
ZIP 37660
Phone: (423) 968-1144

The NPI 1497901854 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Complete ultrasound scan of 1 breast (HCPCS:76641)
  • Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Mri scan of both breasts (HCPCS:77049)
  • X-ray of surgical specimen (HCPCS:76098)
  • Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)
  • Placement of locating device in breast using imaging guidance, first growth (HCPCS:19281)

The enumeration date for this NPI number is 8/15/2008 and was last updated on 10/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology35098925OHIONo
22085R0202XRadiologyDiagnostic Radiology49584TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q001537MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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