Individual provider Active NPI

Ashley De Witt, DO

  • Obstetrics & Gynecology Physician
  • Winchester, TN
National Provider Identifier
1043476757
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2396 Issued in TN
Practice address
155 Hospital Rd Ste C
Winchester, TN 37398-2495
Phone
(931) 962-3297
Fax
(931) 967-0175
NPI assigned
Aug 1, 2008
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2396 TN Primary

Addresses

Primary practice location

155 Hospital Rd Ste C
Winchester, TN 37398-2495

Mailing address

155 Hospital Rd Ste C
Winchester, TN 37398-2495
Phone (931) 962-3297

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
I20121024000729 TN Practitioner - Obstetrics/Gynecology 2062662265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

155 Hospital Rd
Suite C
Winchester, TN 37398-2495
Phone (931) 967-8111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC CurrentSince Apr 3, 2023 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Apr 3, 2023 Accepting new patients
Southern Tennessee Medical Center LLC Past Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients

Locations

1610 McArthur St
Manchester, TN 37355
Phone (931) 954-5111

155 Hospital Rd
Ste C
Winchester, TN 37398
Phone (931) 962-3297

161 Shirley Dr
Winchester, TN 37398
Phone (931) 962-0450

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: ashley.dewitt.1@19363.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1043476757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD STE C",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982495",
            "telephone_number": "931-962-3297",
            "fax_number": "931-967-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD STE C",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982495",
            "telephone_number": "931-962-3297",
            "fax_number": "931-967-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE WITT",
        "first_name": "ASHLEY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "2396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.