Individual provider Active NPI

Stephanie Dallas, M.D.

  • Obstetrics Physician
  • Nashville, TN
National Provider Identifier
1588083943
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
57408 Issued in TN
Practice address
1161 21St Ave S
R-1214 MCN
Nashville, TN 37232-2521
Phone
(615) 343-8801
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 57408 TN Primary

Addresses

Primary practice location

1161 21St Ave S
R-1214 MCN
Nashville, TN 37232-2521

Mailing address

4323 Carothers Pkwy Ste 208
Franklin, TN 37067-5916
Phone (615) 778-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20180816001616 TN Practitioner - Obstetrics/Gynecology 2264781772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Toledo Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Group of Franklin PLLCGroup PAC ID 1759360001, 11 clinicians

Practice addresses (Care Compare)

4323 Carothers Pkwy
Suite 208
Franklin, TN 37067-5916
Phone (615) 778-0010

Hospital & facility affiliations

  • Williamson Medical Center Hospital, Franklin, TN, CCN 440029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Group of Franklin PLLC CurrentSince Aug 15, 2018 Accepting new patients

Locations

4323 Carothers Pkwy
Ste 208
Franklin, TN 37067
Phone (615) 459-2051

Interoperability endpoints

  • Direct secure messaging: sdallas@wgf.gwaydirect.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1588083943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 CAROTHERS PKWY STE 208",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675916",
            "telephone_number": "615-778-0010",
            "fax_number": "615-778-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 21ST AVE S",
            "address_2": "R-1214 MCN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372322521",
            "telephone_number": "615-343-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TN",
            "license": "57408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.