Individual provider Active NPI

Ashley Harris Stough, NP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1104216266
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-099902 Issued in AL
Practice address
4143 Carmichael Rd
Montgomery, AL 36106-2803
Phone
(334) 395-2200
Fax
(334) 395-2290
NPI assigned
Jan 28, 2015
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN182841 GA
Family Nurse Practitioner 363LF0000X 1-099902 AL Primary

Addresses

Primary practice location

4143 Carmichael Rd
Montgomery, AL 36106-2803

Mailing address

4143 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 395-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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
I20151112000857 GA Practitioner - Nurse Practitioner 3779893201 Reassigns benefits to 1 organization
I20191206001538 AL Practitioner - Nurse Practitioner 3779893201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Alabama Radiation OncologyGroup PAC ID 0345404471, 4 clinicians

Practice addresses (Care Compare)

4143 Carmichael Rd
Montgomery, AL 36106-2803
Phone (334) 395-2200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-099902ALMDFamily Nurse Practitioner
RN182841GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services a LLC CurrentSince Dec 1, 2016 Accepting new patients
Central Alabama Radiation Oncology CurrentSince Sep 25, 2019 Accepting new patients
NSH Cancer Institute Professional Services a LLC CurrentSince Dec 1, 2016 Accepting new patients
NSH Cancer Institute Professional Services a LLC Past Accepting new patients

Locations

4143 Carmichael Rd
Montgomery, AL 36106
Phone (334) 273-7000

585 Jasmine Trl
Prattville, AL 36066
Phone (334) 395-2200

1498 Klondike Rd SW
Ste 106
Conyers, GA 30094
Phone (770) 761-7260

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 2

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1104216266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4143 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-395-2200",
            "fax_number": "334-395-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 CARMICHAEL RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062803",
            "telephone_number": "334-395-2200",
            "fax_number": "334-395-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUGH",
        "first_name": "ASHLEY",
        "middle_name": "HARRIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN182841",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-099902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.