Individual provider Active NPI

Ashleigh A. Twyner, RN, CNP

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1720336852
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R207116-3 Issued in MN
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 815-4775
NPI assigned
Aug 21, 2012
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R207116-3 MN Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N. State Street
Cbo - Suite 4200
Jackson, MS 39216-4500
Phone (601) 496-9794

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Other names 1

  • Ashleigh A. Washington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170811001705 MS Practitioner - Nurse Practitioner 8729239975 Reassigns benefits to 1 organization
I20250611002059 TN Practitioner - Nurse Practitioner 8729239975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Campbell Clinic, PCGroup PAC ID 9638082076, 229 clinicians
Cordova Pain Specialists, PLLCGroup PAC ID 1759500523, 5 clinicians

Practice addresses (Care Compare)

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100

1540 Appling Care LN
Suite 105
Cordova, TN 38016-4947
Phone (901) 444-3950

1900 W Poplar Ave
Collierville, TN 38017-0605
Phone (901) 759-3100

585 S Mendenhall Rd
Memphis, TN 38117-4215
Phone (901) 759-3100

7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196

7887 Wolf River Blvd
Germantown, TN 38138-1718
Phone (901) 759-3100

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
36584TNMDAnatomic Pathology & Clinical Pathology Physician
R207116-3MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Clinic, PC Nurse Practitioner Current Accepting new patients
Titan Orthopedics of Memphis, PLLC CurrentSince Nov 19, 2025 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Sep 25, 2019 Accepting new patients
Cordova Pain Specialists, PLLC CurrentSince May 13, 2025 Accepting new patients
Campbell Clinic PC CurrentSince Nov 19, 2025 Accepting new patients
Campbell Clinic Past Accepting new patients

Locations

2500 N State St
Ste 4200
Jackson, MS 39216

2608 S Lamar Blvd
#102
Oxford, MS 38655

7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196

1540 Appling Care Ln
Ste 105
Cordova, TN 38016
Phone (901) 202-0733

1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/14704/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1720336852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N. STATE STREET",
            "address_2": "CBO - SUITE 4200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-496-9794",
            "fax_number": "601-815-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWYNER",
        "first_name": "ASHLEIGH",
        "middle_name": "A.",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R207116-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEIGH",
            "last_name": "WASHINGTON",
            "middle_name": "A.",
            "credential": "RN, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.