Ashley Elizabeth Attaway, PA
Individual provider Active NPI Physician Assistant · Jackson, TN
NPI 1447088026 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1447088026
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 6040 (TN)
- Practice address
- 145 Innovation Dr
Jackson, TN 38305-3019 - Phone
- (731) 422-0213
- Fax
- (731) 422-0409
- NPI assigned
- Jul 24, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson Clinic PA
Practice addresses (Care Compare)
101 Garrett Dr
Medina, TN 38355-9641
Phone (731) 422-0355
145 Innovation Dr
Jackson, TN 38305-3019
Phone (731) 422-0213
149 Commons Dr
Martin, TN 38237-3882
Phone (731) 422-0213
22 2ND Ave
Huntingdon, TN 38344-3806
Phone (731) 422-0213
2859 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 664-1375
2863 Hwy 45 Byp
Jackson, TN 38305-3618
Phone (731) 664-1375
4039 S Highland St
Milan, TN 38358-3483
Phone (731) 686-8995
619 Skyline Dr
Jackson, TN 38301-3903
Phone (731) 422-0213
Hospital & facility affiliations
- Jackson-Madison County General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20240819000706 | TN | Practitioner - Physician Assistant | 1355889650 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6040 | TN | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinic PA | Current |
Accepting new patients |
Locations
87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375
145 Innovation Dr
Jackson, TN 38305
Interoperability endpoints
- ashleyattaway@jcpa.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6040 | TN | Yes |
Addresses
Primary practice location
145 Innovation Dr
Jackson, TN 38305-3019
Mailing address
PO Box 400
Jackson, TN 38302-0400
Phone (731) 422-0213
Other providers in Jackson, TN
- Keith Lantrip Atkins
- Kimberly Atkins
- Robin Denise Atkinson
- Atlas Emergency Physicians, PLLC
- Atlas Medical Group, LLC
- Emma Ault
- Morganne Brittany Austin-Dotson
- Natasha Y Austin
- Pamela J Austin
- Porsha Y Austin
All providers in Jackson, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. 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.