Active NPI
Ashley Williams Zimmerman, FNP
- Family Nurse Practitioner
- Braselton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN190851
- Practice address
- 1515 River PL Ste 340
Braselton, GA 30517 - Phone
- (770) 219-6520
- Fax
- (770) 219-6521
- NPI assigned
- Jun 2, 2011
- Last updated
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN190851 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN190851 | GA | Primary |
Addresses
Primary practice location
1515 River PL Ste 340
Braselton, GA 30517
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other practice location 1
655 Jesse Jewell Pkwy SE
Ste C
Gainesville, GA 30501-3756
Phone (770) 771-6916
Other practice location 2
655 Jesse Jewell Pkwy SE
Ste C
Gainesville, GA 30501-3756
Phone (770) 771-6916
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01458463 | Other | GA | AMERIGROUP |
| 623822 | Other | GA | WELLCARE |
| 003111466A | Medicaid | GA |
Other names 1
- Ashley Beth Williams
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | azimmerman89470@nghs.gadirect.net | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1315 Jesse Jewell Pkwy NE
Suite 110
Gainesville, GA 30501-3822
Phone (770) 219-0023
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.83 of 100
- Quality
- 80.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN190851 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients |
Locations
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
1315 Jesse Jewell Pkwy NE
Ste 110
Gainesville, GA 30501
Phone (770) 219-0023
Interoperability endpoints
- azimmerman@landmarkhealth-direct.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611532800000",
"number": "1407140999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 742616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303742616",
"telephone_number": "770-219-8420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 RIVER PL STE 340",
"city": "BRASELTON",
"state": "GA",
"postal_code": "30517",
"telephone_number": "770-219-6520",
"fax_number": "770-219-6521"
}
],
"practiceLocations": [
{
"address_1": "655 Jesse Jewell Pkwy SE",
"address_2": "Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013756",
"country_code": "US",
"telephone_number": "770-771-6916",
"fax_number": "770-771-6919",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "655 Jesse Jewell Pkwy SE",
"address_2": "Ste C",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013756",
"country_code": "US",
"telephone_number": "770-771-6916",
"fax_number": "770-771-6919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "ASHLEY",
"middle_name": "WILLIAMS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2021-01-25",
"certification_date": "2021-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN190851",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN190851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01458463",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "623822",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003111466A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "azimmerman89470@nghs.gadirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1515 River Pl Ste 340",
"city": "Braselton",
"state": "GA",
"country_code": "US",
"postal_code": "30517",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "WILLIAMS",
"middle_name": "BETH",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Braselton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.