Provider Demographics
NPI:1639183155
Name:NIMS, TRACY ASKEW (MD)
Entity type:Individual
Prefix:
First Name:TRACY
Middle Name:ASKEW
Last Name:NIMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2023 N CAROTHERS RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5802
Mailing Address - Country:US
Mailing Address - Phone:615-599-4465
Mailing Address - Fax:615-599-7915
Practice Address - Street 1:2023 N CAROTHERS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067
Practice Address - Country:US
Practice Address - Phone:615-599-4465
Practice Address - Fax:615-599-7915
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37561207V00000X
NC9401120207V00000X
WI514-320207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3725315Medicaid
TNQ018895Medicaid
TN3725315Medicaid