Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashley Anderson McCormack

Individual provider Nurse Practitioner · NPI 1003455361

Ashley Anderson McCormack is a Nurse Practitioner in Lebanon, Tennessee. Qualified in 2019, 7 years ago. Practices with Cumberland Skin Surgery and Dermatology, a 55-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

1670 W Main St Ste 140
Lebanon, TN 37087-1345
Phone: (615) 994-8201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26970 (TN)

Record details

NPI number1003455361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023
Mailing address3810 Central Pike, Hermitage, TN 37076-3494

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cumberland Skin Surgery And Dermatology — 55 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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