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ASHLEY ELIZABETH BLACK FNP
NPI 1477146777
Nurse Practitioner - Family in Cedartown, GA

Active since February 17, 2021PECOS Enrolled
118 E GIRARD AVE, CEDARTOWN, GA 30125(678) 246-5174(706) 657-2958 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashley Elizabeth Black Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY ELIZABETH BLACK FNP (NPI 1477146777) is an individual family provider in Cedartown, Georgia, licensed in Georgia (RN251510) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477146777
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY ELIZABETH BLACKCredential: FNP
Location Address118 E GIRARD AVECedartown, GA 30125-2712
Mailing Address13570 N Main StTrenton, GA 30752-2012 · (706) 956-2665 · Fax (706) 657-2958
Phone(678) 246-5174
Fax(706) 657-2958
Sole ProprietorNo
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1477146777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN251510
118 E GIRARD AVE, Cedartown, GA 30125
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Elizabeth Black Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$92.66 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier22 claims22 services$204.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA L MONTGOMERY DMD
Dentist (General Practice)
118 E GIRARD AVE
CEDARTOWN, GA 30125
Polk County (678) 246-5174
MRS. STACY M HENDRIX FNP-C
Nurse Practitioner (Family)
118 E GIRARD AVE
CEDARTOWN, GA 30125
Polk County (678) 246-5174
MS. CARLA SUE MCFARLAND ARNP
Nurse Practitioner
118 E GIRARD AVE
CEDARTOWN, GA 30125
Polk County (678) 246-5174
MRS. JOHNNA S ABBASI FNP
Nurse Practitioner (Family)
118 E GIRARD AVE
CEDARTOWN, GA 30125
Polk County (678) 246-5174
KAREN M HELLRIEGEL FNP-BC
Nurse Practitioner
118 E GIRARD AVE
CEDARTOWN, GA 30125
Polk County (678) 901-3331
ADINA LUPAS DMD
Dentist
118 E GIRARD AVE
CEDARTOWN, GA 30125
Polk County (678) 246-5174
PRIMARY HEALTH CARE CENTER OF DADE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
118 E GIRARD AVE
CEDARTOWN, GA 30125
Polk County (706) 866-8820
REDMOND PHYSICIAN PRACTICE COMPANY
Internal Medicine
118 E GIRARD AVE, SUITE 104
CEDARTOWN, GA 30125
Polk County (770) 749-1005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Black's NPI number?

The NPI number for Ashley Black is 1477146777. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Ashley Black located?

Ashley Black practices at 118 E Girard Ave, Cedartown, GA 30125. The listed phone number is (678) 246-5174.

What is Ashley Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Black enrolled in Medicare?

Yes. Ashley Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ashley Black was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.