Individual provider Active NPI

Abigail Lynn Ryan, MD

  • Pediatrics Physician
  • Franklin, TN
National Provider Identifier
1790948784
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
48861 Issued in 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
Last updated
Nov 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20120920000242 TN Practitioner - Pediatric Medicine 8123298692 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48861TNMDLicensed Practical Nurse
2008015353MOMDPediatrics Physician
2011012605MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Medical Associates PC CurrentSince Sep 21, 2021 Accepting new patients
Dickson Medical Associates, PC CurrentSince Sep 21, 2021 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Dickson Medical Associates, PCWaverly, TN, CCN 448958 Rural health clinic General Partnership Interest (4.93%) Nov 6, 2023
Dma South PediatricsDickson, TN, CCN 883843 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Nov 6, 2023
Dickson Medical Associate White BluffWhite Bluff, TN, CCN 883842 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Nov 6, 2023
Dickson Medical Associates, PCFairview, TN, CCN 883917 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Nov 6, 2023
Dma Pediatrics and Specialty ClinicWaverly, TN, CCN 883924 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Nov 6, 2023
First Priority HealthHohenwald, TN, CCN 883955 Rural health clinic 5% Or Greater Direct Ownership Interest (4.93%) Nov 6, 2023
Dma SouthDickson, TN, CCN 888923 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.

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": "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

Verify at the official NPI Registry.