Individual provider Active NPI

Nazneen Ahmed, MD

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1093709388
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD31369 Issued in TN
Practice address
6901 Lenox Village Dr
Ste 104
Nashville, TN 37211-7197
Phone
(615) 712-9712
NPI assigned
Sep 1, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD31369 TN Primary

Addresses

Primary practice location

6901 Lenox Village Dr
Ste 104
Nashville, TN 37211-7197

Mailing address

6901 Lenox Village Dr
Ste 104
Nashville, TN 37211-7197
Phone (615) 712-9712

Other identifiers 1

IdentifierTypeStateIssuer
1502880MedicaidTN

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
I20101105000698 TN Practitioner - Pediatric Medicine 9133314925 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31369TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Ventures PLLC Pediatrics CurrentSince Sep 23, 2013 Accepting new patients
Grace Pediatrics PLLC Pediatrics Past Accepting new patients
Martin Clinic Corp Pediatrics Past Accepting new patients

Locations

6901 Lenox Village Dr
Unit 104
Nashville, TN 37211
Phone (615) 712-9712

Interoperability endpoints

  • Direct secure messaging: nazneed.ahmed.1@31800.direct.athenahealth.com

Organizations & group practices 3

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1093709388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 LENOX VILLAGE DR",
            "address_2": "STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117197",
            "telephone_number": "615-712-9712",
            "fax_number": "615-457-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 LENOX VILLAGE DR",
            "address_2": "STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117197",
            "telephone_number": "615-712-9712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NAZNEEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD31369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502880",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.