Active NPI
Abigail Lynn Ryan, MD
- Pediatrics Physician
- Franklin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 48861
- Practice address
- 1113 Murfreesboro Rd
Suite 319
Franklin, TN 37064-1306 - Phone
- (615) 790-0567
- Fax
- (615) 595-8030
- NPI assigned
- Jul 9, 2008
- Last updated
- Nov 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2008015353 | MO | |
| Pediatrics Physician | 208000000X | 2011012605 | MO | |
| Pediatrics Physician | 208000000X | 48861 | TN | Primary |
Addresses
Primary practice location
1113 Murfreesboro Rd
Suite 319
Franklin, TN 37064-1306
Mailing address
1113 Murfreesboro Rd
Suite 319
Franklin, TN 37064-1306
Phone (615) 790-0567
Other names 1
- Abigail Lynn Uppinghouse
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 |
|---|---|---|---|
| 48861 | TN | MD | Licensed Practical Nurse |
| 2008015353 | MO | MD | Pediatrics Physician |
| 2011012605 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Medical Associates PC | Current | Accepting new patients | |
| Dickson Medical Associates, PC | Current | Accepting new patients |
Locations
127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478
127 Crestview Park Dr
Ste 209
Dickson, TN 37055
758 Highway 46 S
Dickson, TN 37055
Phone (615) 446-2708
768 Highway 46 S
Dickson, TN 37055
Phone (615) 441-4400
215B Holly Ln
Waverly, TN 37185
Phone (931) 296-9969
Interoperability endpoints
- aryan26993@dicksonmedicalassociates.gardenplot.direct-ci.com
Ownership & related parties
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Dickson Medical Associates, PC | Rural health clinic | General Partnership Interest (4.93%) | Nov 6, 2023 |
| Dma South Pediatrics | Rural health clinic | 5% Or Greater Direct Ownership Interest (4.93%) | Nov 6, 2023 |
| Dickson Medical Associate White Bluff | Rural health clinic | 5% Or Greater Direct Ownership Interest (4.93%) | Nov 6, 2023 |
| Dickson Medical Associates, PC | Rural health clinic | 5% Or Greater Direct Ownership Interest (4.93%) | Nov 6, 2023 |
| Dma Pediatrics and Specialty Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (4.93%) | Nov 6, 2023 |
| First Priority Health | Rural health clinic | 5% Or Greater Direct Ownership Interest (4.93%) | Nov 6, 2023 |
| Dma South | Rural health clinic | 5% Or Greater Direct Ownership Interest (4.93%) | Nov 6, 2023 |
Owned or controlled facilities with NPI records 8
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba DMA Crestview Pediatrics
- Rural Health Clinic/Center
- Dickson, TN
- NPI 1003425224
5% Or Greater Direct Ownership Interest
-
- Primary Care Clinic/Center
- Hohenwald, TN
- NPI 1578272852
5% Or Greater Direct Ownership Interest
-
dba DMA Fairview
- Rural Health Clinic/Center
- Fairview, TN
- NPI 1710565205
5% Or Greater Direct Ownership Interest
-
dba DMA Pediatrics and Specialty Clinic
- Rural Health Clinic/Center
- Waverly, TN
- NPI 1730835356
5% Or Greater Direct Ownership Interest
-
- Rural Health Clinic/Center
- Waverly, TN
- NPI 1770196453
General Partnership Interest
-
dba Dickson Medical Associates White Bluff
- Rural Health Clinic/Center
- White Bluff, TN
- NPI 1851805188
5% Or Greater Direct Ownership Interest
-
dba DMA South Pediatrics
- Rural Health Clinic/Center
- Dickson, TN
- NPI 1881702199
5% Or Greater Direct Ownership Interest
-
dba DMA-South
- Family Medicine Physician
- Dickson, TN
- NPI 1972606218
5% Or Greater Direct Ownership Interest
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.
-
- Family Medicine Physician
- Dickson, TN
- NPI 1568464873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384819200000",
"number": "1790948784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 MURFREESBORO RD",
"address_2": "SUITE 319",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370641306",
"telephone_number": "615-790-0567",
"fax_number": "615-595-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 MURFREESBORO RD",
"address_2": "SUITE 319",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370641306",
"telephone_number": "615-790-0567",
"fax_number": "615-595-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ABIGAIL",
"middle_name": "LYNN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2013-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2008015353",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2011012605",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "48861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "UPPINGHOUSE",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.