Individual provider Active NPI

Ashly Ann Roby Parker, PA-C

  • Physician Assistant
  • Goodlettsville, TN
National Provider Identifier
1942719216
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6107 Issued in TN
Practice address
900 Conference Dr
Goodlettsville, TN 37072-1923
Phone
(615) 581-9911
NPI assigned
Sep 29, 2017
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6107 TN Primary
Physician Assistant 363A00000X MED-PAC-LIC-58470 MT
Emergency Medicine Physician 207P00000X MED-PAC-LIC-58470 MT
Family Medicine Physician 207Q00000X MED-PAC-LIC-58470 MT
Internal Medicine Physician 207R00000X MED-PAC-LIC-58470 MT
Hospitalist Physician 208M00000X MED-PAC-LIC-58470 MT

Addresses

Primary practice location

900 Conference Dr
Goodlettsville, TN 37072-1923

Mailing address

313 Hurricane Loop
Tennessee Ridge, TN 37178-5129
Phone (931) 206-7455

Other identifiers 3

IdentifierTypeStateIssuer
MED-PAC-LIC-58470OtherMTMONTANA STATE MEDICAL BOARD
1143430OtherNCCPA
6107OtherTNTNDEPARTMENTOFHEATH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, TN2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171228002366 MT Practitioner - Physician Assistant 9032477740 Reassigns benefits to 1 organization
I20250129001295 TN Practitioner - Physician Assistant 9032477740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Medical Group, PLLCGroup PAC ID 3779544895, 52 clinicians

Practice addresses (Care Compare)

491 Sage Rd N
Suite 200
White House, TN 37188-9361
Phone (615) 672-7122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MED-PAC-LIC-58470MTMDFamily Medicine Physician
6107TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, P.a. Internal Medicine Past Accepting new patients

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, 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": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1942719216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 HURRICANE LOOP",
            "city": "TENNESSEE RIDGE",
            "state": "TN",
            "postal_code": "371785129",
            "telephone_number": "931-206-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CONFERENCE DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721923",
            "telephone_number": "615-581-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ASHLY",
        "middle_name": "ANN ROBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6107",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "MED-PAC-LIC-58470",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MT",
            "license": "MED-PAC-LIC-58470",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "MED-PAC-LIC-58470",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MT",
            "license": "MED-PAC-LIC-58470",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MT",
            "license": "MED-PAC-LIC-58470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE MEDICAL BOARD",
            "identifier": "MED-PAC-LIC-58470",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1143430",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TNDEPARTMENTOFHEATH",
            "identifier": "6107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.