Individual provider Active NPI

Ashley Arrington Skinner, NP-C

  • Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1841866225
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN247787 Issued in GA
Practice address
100 Professional PL Ste 204
Carrollton, GA 30117-3802
Phone
(770) 834-3351
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 RN247787 GA Primary

Addresses

Primary practice location

100 Professional PL Ste 204
Carrollton, GA 30117-3802

Mailing address

787 County Road 112
Ranburne, AL 36273-3564
Phone (256) 610-4638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002519 GA Practitioner - Nurse Practitioner 0840694790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Group of West GeorgiaGroup PAC ID 6709772197, 9 clinicians

Practice addresses (Care Compare)

100 Professional PL
Suite 204
Carrollton, GA 30117-3802
Phone (770) 834-3351

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN247787GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group of West Georgia CurrentSince Jun 18, 2021 Accepting new patients

Locations

100 Professional Pl
Ste 204
Carrollton, GA 30117
Phone (770) 834-3351

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1841866225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 COUNTY ROAD 112",
            "city": "RANBURNE",
            "state": "AL",
            "postal_code": "362733564",
            "telephone_number": "256-610-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL PL STE 204",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173802",
            "telephone_number": "770-834-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKINNER",
        "first_name": "ASHLEY",
        "middle_name": "ARRINGTON",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN247787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.