Individual provider Active NPI

Ashley N Smith, FNP

  • Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1104479641
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25970 Issued in TN
Practice address
2253 Chambliss Ave NW Ste 101
Cleveland, TN 37311-3861
Phone
(423) 473-7475
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25970 TN Primary

Addresses

Primary practice location

2253 Chambliss Ave NW Ste 101
Cleveland, TN 37311-3861

Mailing address

2253 Chambliss Ave NW Ste 101
Cleveland, TN 37311-3861
Phone (423) 473-7475

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Url

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924002312 TN Practitioner - Nurse Practitioner 6002146651 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 859-8000

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033
  • Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
  • Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Aug 5, 2019 Accepting new patients
Healogics Specialty Physicians of Tennessee, PLLC Nurse Practitioner CurrentSince Jul 26, 2021 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 5, 2019 Accepting new patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Aug 16, 2024 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients
Summit Medical Group,PLLC Past Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

2253 Chambliss Ave NW
Ste 101
Cleveland, TN 37311
Phone (423) 473-7475

4117 E Emory Rd
Knoxville, TN 37938
Phone (865) 922-2121

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

10810 Parkside Dr
Ste G10
Knoxville, TN 37934
Phone (865) 218-7525

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

1801 N Jackson St
Tullahoma, TN 37388
Phone (931) 393-3000

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1104479641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-473-7475",
            "fax_number": "423-559-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-473-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Url",
            "affiliation": "N",
            "address_1": "2253 Chambliss Ave NW Ste 101",
            "city": "Cleveland",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373113861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.