AMBER NICOLE DURHAM
NPI 1083394670
Social Worker - Clinical in Lexington, TN

Active since July 19, 2023PECOS EnrolledAccepts Medicare Assignment
9550 HIGHWAY 412 W STE B, LEXINGTON, TN 38351(731) 968-8197(731) 967-1749 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 3, 2026, Feb 3, 2025, Jul 19, 2023 (3 updates tracked since 2023).

About Amber Nicole Durham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBER NICOLE DURHAM (NPI 1083394670) is an individual clinical provider in Lexington, Tennessee, licensed in Tennessee (8605) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1083394670
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMBER NICOLE DURHAM
Location Address9550 HIGHWAY 412 W STE BLexington, TN 38351-5850
Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582 · (731) 660-8781 · Fax (731) 660-8739
Fax(731) 967-1749
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 19, 2023
Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1083394670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in TN · 8605
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

9550 HIGHWAY 412 W STE B, Lexington, TN 38351

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amber Nicole Durham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406219930
PECOS Enrollment IDI20230830002943
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38351 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.64 – $160.89
Typical copayment $0.00 (range $13.16 – $40.22)
Most-billed visit code NA
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
9550 HIGHWAY 412 W STE B
LEXINGTON, TN 38351
Physical Therapy Assistant
9550 HIGHWAY 412 W STE B
LEXINGTON, TN 38351
Nurse Practitioner (Psychiatric/Mental Health)
9550 HIGHWAY 412 W STE B
LEXINGTON, TN 38351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Durham's NPI number?

The NPI number for Amber Durham is 1083394670. It was assigned to this individual provider in the NPPES registry on July 19, 2023.

Where is Amber Durham located?

Amber Durham practices at 9550 Highway 412 W Ste B, Lexington, TN 38351. The listed phone number is (731) 968-8197.

What is Amber Durham's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Amber Durham enrolled in Medicare?

Yes. Amber Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amber Durham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Amber Durham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amber Durham was last updated on March 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.