Individual provider Active NPI

Allison Leigh Weiffenbach, MD

  • Dermatology Physician
  • Nashville, TN
National Provider Identifier
1043745474
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35.142754 Issued in OH
Practice address
4515 Harding Pike Ste 310
Nashville, TN 37205-2118
Phone
(339) 364-1567
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35.142754 OH Primary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 67868 TN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4515 Harding Pike Ste 310
Nashville, TN 37205-2118

Mailing address

4515 Harding Pike Ste 310
Nashville, TN 37205-2118
Phone (339) 364-1567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211008002084 OH Practitioner - Dermatology 7810266285
I20230626001278 TN Practitioner - Dermatology 7810266285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortina Dermatology Group PAGroup PAC ID 0143756239, 2 clinicians

Practice addresses (Care Compare)

4515 Harding Pike
Suite 310
Nashville, TN 37205-2118
Phone (423) 702-6341

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions49
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
67868TNMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ren Dermatology PLLC Single Specialty CurrentSince Jun 1, 2023 Accepting new patients
Cortina Dermatology Group PA Single Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

1195 Old Hickory Blvd
Ste 200
Brentwood, TN 37027
Phone (615) 370-7905

1195 Old Hickory Blvd
Ste 202
Brentwood, TN 37027
Phone (615) 377-8077

155 Covey Dr
Ste 200
Franklin, TN 37067
Phone (615) 835-3220

4515 Harding Pike
Ste 310
Nashville, TN 37205
Phone (423) 702-6341

Interoperability endpoints

  • FHIR API: https://rendermatology.mmi.prod.fhir.ema-api.com/fhir/r4/

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1043745474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 HARDING PIKE STE 310",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "339-364-1567",
            "fax_number": "615-379-8258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 HARDING PIKE STE 310",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "339-364-1567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIFFENBACH",
        "first_name": "ALLISON",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35.142754",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "67868",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.