OrganizationActive
Cumberland Gap Medical
NPI 1336563204 · Family Nurse Practitioner · La Follette, TN
Provider details
- NPI number
- 1336563204
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Amanda Collins, Nurse Practitioner(423) 201-9799
- License
- APN0000016605 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
502 W Central Ave
Suite 2
La Follette, TN 37766-3400
Phone: (423) 201-9799
Fax: (423) 437-8162
Street-level locationGet directions
Mailing address
502 W Central Ave
La Follette, TN 37766-3400
Registry dates
- Enumerated
- 2014-02-12
- Last updated
- 2014-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.