Active NPI
Ashley Dorman Brian
- Family Nurse Practitioner
- Richland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 905768
- 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, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 905768 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMC - Attala, LLC | Current | Accepting new patients | |
| Baptist Medical Center - Yazoo, Inc | Current | Accepting new patients | |
| Medical Foundation of Central Ms | Current | Accepting new patients | |
| Baptist Medical Center-Leake, Inc. | Current | Accepting new patients | |
| Baptist Medical Center-Leake Inc | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc. | Current | 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 | Current | Accepting new patients | |
| Mississippi Baptist Medical Center, Inc | Current | Accepting new patients | |
| Medical Foundation of Central Mississippi, Inc. | Current | 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
- 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.
-
dba Baptist Medical Clinics
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
- Family Medicine Physician
- Jackson, MS
- NPI 1356626618
-
dba BMC Attala Kosciusko Primary Care
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1023481595
-
dba MBMC - Neuro Hospitalists
- Neurology Physician
- Jackson, MS
- NPI 1467589556
-
- Medicare Defined Swing Bed Hospital Unit
- Yazoo City, MS
- NPI 1063620870
-
dba BMC Yazoo Primary Care
- Rural Health Clinic/Center
- Yazoo City, MS
- NPI 1699066746
-
- Critical Access Hospital
- Carthage, MS
- NPI 1205112539
-
dba BMC Leake Carthage Primary Care
- Rural Health Clinic/Center
- Carthage, MS
- NPI 1194861260
-
dba Baptist Medical Clinic-Brandon
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1962523845
-
- Community/Retail Pharmacy
- Jackson, MS
- NPI 1255882890
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.