Abigail Lynn Ryan, MD
Individual provider Active NPI Pediatrics Physician · Franklin, TN
NPI 1790948784 · NPPES record last updated Nov 19, 2013
Key facts
- NPI
- 1790948784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 48861 (TN)
- Practice address
- 1113 Murfreesboro Rd
Suite 319
Franklin, TN 37064-1306 - Phone
- (615) 790-0567
- Fax
- (615) 595-8030
- NPI assigned
- Jul 9, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Owned or controlled facilities with NPI records 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 7
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120920000242 | TN | Practitioner - Pediatric Medicine | 8123298692 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Ste 209
Dickson, TN 37055
127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2008015353 | MO | |
| Pediatrics Physician | 208000000X | 2011012605 | MO | |
| Pediatrics Physician | 208000000X | 48861 | TN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3379411 | Medicaid | TN |
Other names
- Abigail Lynn Uppinghouse
Other providers in Franklin, TN
- Margaret Owen Russell
- Robert Carl Russell
- Elizabeth Bowie Rustici
- Francine Ruth
- Ryan D. Duncan, PLLC
- Lacey Anne Ryan
- Susan Grainger Ryan
- Kendle Rye
- Breanna Ryon
- CHI Yol Ryu
All providers in Franklin, TN · Pediatrics Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.