Individual provider Active NPI

Ashley Hardeman, APRN

  • Adult Health Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1356932032
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
258105 Issued in GA
Practice address
1181 Langford Dr Unit 105
Watkinsville, GA 30677-7242
Phone
(706) 548-9655
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 258105 GA Primary

Addresses

Primary practice location

1181 Langford Dr Unit 105
Watkinsville, GA 30677-7242

Mailing address

1491 Colliers Creek Rd
Watkinsville, GA 30677-1875

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL TMBmedical.com
CONNECT URL TMBmedical.com
CONNECT URL TMBmedical.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250403001236 GA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5193249886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
258105GAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMB Medical Associates, P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGFHAA

Organizations & group practices 1

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1356932032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 COLLIERS CREEK RD",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR UNIT 105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777242",
            "telephone_number": "706-548-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEMAN",
        "first_name": "ASHLEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "258105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TMBmedical.com",
            "affiliation": "N",
            "address_1": "1181 Langford Dr Unit 105",
            "city": "Watkinsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306777242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TMBmedical.com",
            "affiliation": "N",
            "address_1": "1181 Langford Dr Unit 105",
            "city": "Watkinsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306777242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TMBmedical.com",
            "affiliation": "N",
            "address_1": "1181 Langford Dr Unit 105",
            "city": "Watkinsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306777242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.