Active NPI
Adam Allan, DO
- Dermatology Physician
- Clarksville, TN
National Provider Identifier
1992149074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 3170
- Practice address
- 670 Sango Rd
Clarksville, TN 37043-5489 - Phone
- (931) 552-8774
- NPI assigned
- Apr 19, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 3170 | TN | Primary |
Addresses
Primary practice location
670 Sango Rd
Clarksville, TN 37043-5489
Mailing address
670 Sango Rd
Clarksville, TN 37043-5489
Phone (931) 552-8774
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170810003081 | TN | Practitioner - Dermatology | 9638395791 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nashville Skin and Cancer, PLC
Practice addresses (Care Compare)
670 Sango Rd
Clarksville, TN 37043-5489
Phone (931) 552-8774
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.55 of 100
- Quality
- 80.6
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.09
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 129 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 2588 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 18 |
| Skin biopsy | 729 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3170 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Skin and Cancer, PLC | Dermatology | Current | Accepting new patients |
Locations
670 Sango Rd
Clarksville, TN 37043
Phone (615) 327-9797
2301 21st Ave S
Nashville, TN 37212
Phone (615) 305-6871
5700 Temple Rd
Ste 201
Nashville, TN 37221
Phone (629) 208-6100
Interoperability endpoints
- aallan@nashskin.emadirect.md
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555200000000",
"number": "1992149074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 SANGO RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435489",
"telephone_number": "931-552-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 SANGO RD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370435489",
"telephone_number": "931-552-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "ADAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-19",
"last_updated": "2019-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "3170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.