Ashley Nicole Dodson, PA-C
Individual provider Active NPI Physician Assistant · Tupelo, MS
NPI 1174154652 · NPPES record last updated Feb 3, 2020
Key facts
- NPI
- 1174154652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA00475 (MS)
- Practice address
- 4250 S Eason Blvd
Tupelo, MS 38801-6549 - Phone
- (662) 377-5265
- NPI assigned
- Feb 3, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Mississippi Medical Center, Inc.
Practice addresses (Care Compare)
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
- North Mississippi Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200304000753 | MS | Practitioner - Physician Assistant | 4486081452 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center Services LLC | Current |
Accepting new patients | |
| North Mississippi Medical Center Services LLC | Past | Accepting new patients |
Locations
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
4250 S Eason Blvd
Tupelo, MS 38801
Phone (662) 377-5265
Interoperability endpoints
- ashleydodson@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA00475 | MS | Yes |
Addresses
Primary practice location
4250 S Eason Blvd
Tupelo, MS 38801-6549
Mailing address
PO Box 787
Saltillo, MS 38866-0787
Phone (662) 397-8651
Other providers in Tupelo, MS
- Bernadine Collette Dixon
- Jenna Lee Dixon
- Catina Dobbs
- Lucinda Dobbs
- Paul Alexander Dobbs
- Doing Life Well Integrative Health and Consulting, PLLC
- Elizabeth Franz Donahue
- Melissa Barnes Donovan
- Rebecca Dorough
- Brandy Nicole Doss
All providers in Tupelo, MS · Physician Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.