Individual provider Active NPI

Adam Allan, DO

  • Dermatology Physician
  • Clarksville, TN
National Provider Identifier
1992149074
Registry record updated Apr 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3170 Issued in TN
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

Updated by the provider on Apr 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, PLCGroup PAC ID 2961446026, 18 clinicians

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 100Reported as group
Quality
80.6
Promoting interoperability
97
Improvement activities
40
Cost
67.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision129
Removal of tissue1-10
Removal of skin lesions2588
Removal of nail tissue1-10
Removal or shaving of skin growth18
Skin biopsy729

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3170TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Skin and Cancer, PLC Dermatology CurrentSince Apr 1, 2017 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.