Individual provider Active NPI

Ashley Dorman Brian

  • Family Nurse Practitioner
  • Richland, MS
National Provider Identifier
1518668201
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905768 Issued in MS
Practice address
1201 Highway 49 S Ste 1
Richland, MS 39218-9438
Phone
(601) 973-1576
Fax
(601) 664-0055
NPI assigned
Mar 10, 2023
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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 905768 MS Primary

Addresses

Primary practice location

1201 Highway 49 S Ste 1
Richland, MS 39218-9438

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230427001865 MS Practitioner - Nurse Practitioner 7911362884 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1201 Hwy 49 S
Suite 1
Richland, MS 39218-9438
Phone (601) 973-1576

1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905768MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BMC - Attala, LLC CurrentSince Mar 20, 2023 Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince Mar 20, 2023 Accepting new patients
Medical Foundation of Central Ms CurrentSince Mar 20, 2023 Accepting new patients
Baptist Medical Center-Leake, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Baptist Medical Center-Leake Inc CurrentSince Mar 20, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Baptist Medical Center-Leake, Inc Current Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Baptist Medical Center - Yazoo, Inc Current Accepting new patients
Baptist Medical Center - Yazoo, Inc CurrentSince Mar 20, 2023 Accepting new patients
Mississippi Baptist Medical Center, Inc CurrentSince Mar 20, 2023 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients

Locations

1887 Spillway Rd
Brandon, MS 39047
Phone (601) 992-5532

106 Clinton Pkwy
Clinton, MS 39056
Phone (601) 924-9005

151 E Metro Dr
Ste 103
Flowood, MS 39232
Phone (601) 992-3288

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1200 N State St
Ste 500
Jackson, MS 39202
Phone (601) 352-2273

1200 N State St
Ste LL10
Jackson, MS 39202
Phone (601) 362-7280

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

6250 Old Canton Rd
Ste 100
Jackson, MS 39211
Phone (601) 957-1015

7275 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-7722

220 Highway 12 W
Kosciusko, MS 39090
Phone (662) 289-4311

2173 Main St
Madison, MS 39110
Phone (601) 605-3858

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

401 Baptist Dr
Ste 401
Madison, MS 39110
Phone (601) 853-1070

3011 Greenfield Rd
Pearl, MS 39208
Phone (601) 825-9000

1201 Highway 49 S
Ste 1
Richland, MS 39218
Phone (601) 326-8700

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

Interoperability endpoints

  • Direct secure messaging: abrian560769@direct.bmhcc.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1518668201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HIGHWAY 49 S STE 1",
            "city": "RICHLAND",
            "state": "MS",
            "postal_code": "392189438",
            "telephone_number": "601-973-1576",
            "fax_number": "601-664-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIAN",
        "first_name": "ASHLEY",
        "middle_name": "DORMAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, MS

Sources for this page

Verify at the official NPI Registry.