Individual provider Active NPI

Ashley Ruth Head, FNP

  • Family Nurse Practitioner
  • Monroe, GA
National Provider Identifier
1295109452
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN155218 Issued in GA
Practice address
2151 W Spring St
Monroe, GA 30655-3115
Phone
(770) 267-8461
NPI assigned
Nov 25, 2015
Last updated
Nov 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN155218 GA Primary

Addresses

Primary practice location

2151 W Spring St
Monroe, GA 30655-3115

Mailing address

1097 Long Piney Rd
Mansfield, GA 30055-4409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160315001209 GA Practitioner - Nurse Practitioner 4688970882 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evirtualcare, LLC CurrentSince Sep 1, 2022 Accepting new patients
Longleaf Hospice, LLC CurrentSince Oct 3, 2022 Accepting new patients
Transitional Care Physicians of Georgia PC CurrentSince May 1, 2019 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Oct 25, 2021 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Feb 6, 2016 Accepting new patients

Locations

1160 Monticello St SW
Ste 200
Covington, GA 30014
Phone (770) 824-3200

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1295109452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 LONG PINEY RD",
            "city": "MANSFIELD",
            "state": "GA",
            "postal_code": "300554409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306553115",
            "telephone_number": "770-267-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "ASHLEY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN155218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.