Individual provider Active NPI

Ashli Elizabeth Fitzpatrick, MD

  • Dermatology Physician
  • Mt Juliet, TN
National Provider Identifier
1003377698
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
68195 Issued in TN
Practice address
325 Old Pleasant Grove Rd
Mt Juliet, TN 37122-4493
Phone
(629) 255-2495
Fax
(629) 255-4263
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 68195 TN Primary

Addresses

Primary practice location

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122-4493

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725000540 TN Practitioner - Dermatology 0749519056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Mississippi School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

325 Old Pleasant Grove Rd
Mount Juliet, TN 37122-4493
Phone (629) 255-3486

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions437
Removal or shaving of skin growth1-10
Skin biopsy201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
68195TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC Dermatology CurrentSince Sep 5, 2023 Accepting new patients
Heritage Medical Associates PC CurrentSince Sep 5, 2023 Accepting new patients

Locations

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (629) 255-3486

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

Networks

  • MS PPO D-SNP
  • MS PPO C-SNP
  • AL HMO D-SNP
  • TN PPO C-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • KY PPO C-SNP
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • TN PPO
  • KY PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • MS PPO
  • AL HMO

Interoperability endpoints

  • Direct secure messaging: ashlifitzpatrick@hma.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1003377698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486",
            "fax_number": "629-255-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OLD PLEASANT GROVE RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224493",
            "telephone_number": "629-255-2495",
            "fax_number": "629-255-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "ASHLI",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "68195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.