Individual provider Active NPI

James Alan Fry, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Nashville, TN
National Provider Identifier
1659482305
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
23538 Issued in TN
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3067965MedicaidTN

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
I20160726000637 TN Practitioner - Pediatric Medicine 2769775923 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023538TNMDNeurology with Special Qualifications in Child Neurology Physician
23538TNMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College Single Specialty CurrentSince Jul 7, 2016 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.

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

Verify at the official NPI Registry.