Active NPI
James Alan Fry, M.D.
- Neurology with Special Qualifications in Child Neurology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 23538
- Practice address
- 1916 Patterson St # 104
Nashville, TN 37203-2120 - Phone
- (615) 320-1583
- Fax
- (615) 800-8892
- NPI assigned
- Aug 31, 2006
- Last updated
- Oct 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 023538 | TN | |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | 23538 | TN | Primary |
Addresses
Primary practice location
1916 Patterson St # 104
Nashville, TN 37203-2120
Mailing address
1916 Patterson St Ste 104
Nashville, TN 37203-2154
Phone (615) 320-1583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3067965 | Medicaid | TN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023538 | TN | MD | Neurology with Special Qualifications in Child Neurology Physician |
| 23538 | TN | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Medical College | Single Specialty | Current | Accepting new patients |
| Willie Anderson MD LLC | Single Specialty | Past | Accepting new patients |
Locations
1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000
2201 Murphy Ave
Ste 212
Nashville, TN 37203
Phone (615) 206-1700
Organizations & group practices 2
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 Meharry Medical Group
- Clinic/Center
- Nashville, TN
- NPI 1205859279
Single Specialty
-
- Neurology with Special Qualifications in Child Neurology Physician
- Franklin, TN
- NPI 1700037074
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1659482305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 PATTERSON ST STE 104",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032154",
"telephone_number": "615-320-1583",
"fax_number": "615-800-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 PATTERSON ST # 104",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032120",
"telephone_number": "615-320-1583",
"fax_number": "615-800-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TN",
"license": "023538",
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "TN",
"license": "23538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3067965",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.