Individual provider Active NPI

Ashlie Dumas, NP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1821547050
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016495 Issued in NC
Practice address
522 Owen Dr
Fayetteville, NC 28304-3432
Phone
(910) 424-2905
NPI assigned
Sep 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP132080 TX
Family Nurse Practitioner 363LF0000X RN213754 GA
Family Nurse Practitioner 363LF0000X 5016495 NC Primary

Addresses

Primary practice location

522 Owen Dr
Fayetteville, NC 28304-3432

Mailing address

7496 Rockfish Rd
Fayetteville, NC 28306-8076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170727001145 TX Practitioner - Nurse Practitioner 1759669823
I20210506001770 GA Practitioner - Nurse Practitioner 1759669823 Reassigns benefits to 1 organization
I20220819001653 NC Practitioner - Nurse Practitioner 1759669823 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN213754GAMDFamily Nurse Practitioner
5016495NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CTD Network LLC CurrentSince Aug 6, 2023 Accepting new patients
Minuteclinic LLC Family CurrentSince Mar 11, 2021 Accepting new patients
Matrix Occupational Health P.C. CurrentSince Sep 12, 2024 Accepting new patients

Locations

495 Charles Hardy Pkwy
Dallas, GA 30157
Phone (770) 231-4783

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

3064 Wake Forest Rd
Raleigh, NC 27609
Phone (415) 360-3349

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1821547050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7496 ROCKFISH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043432",
            "telephone_number": "910-424-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "ASHLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP132080",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN213754",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.