Active NPI
Ashli Elizabeth Fitzpatrick, MD
- Dermatology Physician
- Mt Juliet, TN
National Provider Identifier
1003377698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 68195
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
325 Old Pleasant Grove Rd
Mount Juliet, TN 37122-4493
Phone (629) 255-3486
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 437 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 201 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68195 | TN | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Medical Associates PC | Dermatology | Current | Accepting new patients |
| Heritage Medical Associates PC | Current | 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
- 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.
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1720042021
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.