Individual provider Active NPI

Timothy Dale Ashley, M.D.

  • Family Medicine Physician
  • Florence, AL
National Provider Identifier
1962461574
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14636 Issued in AL
Practice address
727 Cox Creek Pkwy
Florence, AL 35630-1001
Phone
(256) 764-9613
Fax
(256) 764-8474
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14636 AL Primary

Addresses

Primary practice location

727 Cox Creek Pkwy
Florence, AL 35630-1001

Mailing address

727 Cox Creek Pkwy
Florence, AL 35630-1001
Phone (256) 764-9613

Other identifiers 1

IdentifierTypeStateIssuer
000078370MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050411000870 AL Practitioner - Family Practice 7517914864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

727 Cox Creek Pkwy
Florence, AL 35630-1001
Phone (256) 764-9613

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006
  • North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157

Merit-based Incentive Payment System (MIPS)

Final score
21.96 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14636ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ty Ashley M.D. LLC Family Medicine Current Accepting new patients
Timothy Dale Ashley MD PC Family Medicine CurrentSince Jul 25, 1997 Accepting new patients

Locations

727 Cox Creek Pkwy
Florence, AL 35630
Phone (256) 764-9613

Interoperability endpoints

  • Direct secure messaging: timothy.ashley.1@33625.direct.athenahealth.com

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 and National Provider Directory roles.

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1962461574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301001",
            "telephone_number": "256-764-9613",
            "fax_number": "256-764-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 COX CREEK PKWY",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301001",
            "telephone_number": "256-764-9613",
            "fax_number": "256-764-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHLEY",
        "first_name": "TIMOTHY",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000078370",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.