Individual provider Active NPI

Ashley Leshay Merrill, FNP-C

  • Family Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1033630447
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22749 Issued in TN
Practice address
979 E 3Rd St Ste C725
Chattanooga, TN 37403-3329
Phone
(423) 778-2580
Fax
(423) 778-7489
NPI assigned
Jul 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22749 TN Primary

Addresses

Primary practice location

979 E 3Rd St Ste C725
Chattanooga, TN 37403-3329

Mailing address

979 E 3Rd St Ste C725
Chattanooga, TN 37403-3329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180124001933 TN Practitioner - Nurse Practitioner 7618242769 Reassigns benefits to 2 organizations
I20250908000760 GA Practitioner - Nurse Practitioner 7618242769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Womens Health LLCGroup PAC ID 9830580687, 4 clinicians

Practice addresses (Care Compare)

303 W Waugh St
Dalton, GA 30720-3116
Phone (706) 529-8076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 7, 2020 Accepting new patients
Magnolia Womens Health LLC CurrentSince Aug 1, 2025 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 7, 2020 Accepting new patients
Erlanger Health CurrentSince Dec 27, 2023 Accepting new patients
Erlanger Health CurrentSince Dec 27, 2023 Accepting new patients

Locations

303 W Waugh St
Dalton, GA 30720
Phone (706) 529-8076

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

979 E 3rd St
Ste C725
Chattanooga, TN 37403
Phone (423) 756-4796

2600 Taft Hwy
Ste 100
Signal Mtn, TN 37377
Phone (423) 778-9434

Interoperability endpoints

  • Direct secure messaging: ashley.merrill.1@28519.direct.athenahealth.com

Organizations & group practices 5

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": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1033630447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE C725",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST STE C725",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374033329",
            "telephone_number": "423-778-2580",
            "fax_number": "423-778-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "ASHLEY",
        "middle_name": "LESHAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.