Individual provider Active NPI

Allyson Brooke Warren Eastham, M.D.

  • Dermatology Physician
  • Nashville, TN
National Provider Identifier
1639490659
Registry record updated Nov 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
50651 Issued in TN
Practice address
2525 21St Ave S FL 1
Nashville, TN 37212-5601
Phone
(615) 327-9797
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 50651 TN Primary

Addresses

Primary practice location

2525 21St Ave S FL 1
Nashville, TN 37212-5601

Mailing address

2525 21St Ave S FL 1
Nashville, TN 37212-5601
Phone (615) 327-9797

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
I20140708001565 TN Practitioner - Dermatology 2365600152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Tennessee, HSC, College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nashville Skin and Cancer, PLCGroup PAC ID 2961446026, 18 clinicians

Practice addresses (Care Compare)

2301 21St Ave S
Nashville, TN 37212-4908
Phone (615) 327-9797

Merit-based Incentive Payment System (MIPS)

Final score
83.55 of 100Reported as group
Quality
80.6
Promoting interoperability
97
Improvement activities
40
Cost
67.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision51
Removal of skin lesions2007
Removal or shaving of skin growth1-10
Skin biopsy629

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Skin and Cancer, PLC Dermatology CurrentSince Jul 1, 2014 Accepting new patients

Locations

662 Sango Rd
Ste C
Clarksville, TN 37043
Phone (931) 245-1500

335 24th Ave N
Ste 520
Nashville, TN 37203

2301 21st Ave S
Nashville, TN 37212
Phone (615) 305-6871

Interoperability endpoints

  • Direct secure messaging: beastham@nashskin.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416614400000",
    "number": "1639490659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 21ST AVE S FL 1",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125601",
            "telephone_number": "615-327-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 21ST AVE S FL 1",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372125601",
            "telephone_number": "615-327-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTHAM",
        "first_name": "ALLYSON BROOKE",
        "middle_name": "WARREN",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2014-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "50651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.