DICKSON MEDICAL ASSOCIATES, PC (NPI# 1912015108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912015108 |
| Entity Type | Organization |
| Organization Name | DICKSON MEDICAL ASSOCIATES, PC |
| Other Organization Name | DMA LYLES |
| Practice Address |
5194 Highway 100 Suite 106 Lyles TN 37098-2821 |
| Mailing Address |
127 Crestview Park Dr Dickson TN 37055-2855 |
| Practice Telephone | 9316701102 |
| Practice Fax Number | 6154461357 |
| Mailing Telephone | 6154465121 |
| Mailing Fax Number | 6154461357 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2012-09-20 |
| Authorized Official Name | MISS CINDY A LIGHTHILL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6154414477 |
| Is Organization Subpart | Y |
| Parent Organization Name | DICKSON MEDICAL ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS TN GROUP PIN | 3158185 | 01 |
| TN | 3721355 | 05 |
| Other Name | Type Code |
|---|---|
| DMA Lyles | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196453 | Dickson Medical Associates, PC | Clinic/Center | 215b Holly Ln, Waverly, TN 37185-3387 | 2020-08-24 |
| 1952779563 | Dickson Medical Associates, PC | Physical Medicine & Rehabilitation | 766 Highway 46 S, Dickson, TN 37055-2556 | 2015-09-14 |
| 1043635030 | Dickson Medical Associates, PC | Orthopaedic Surgery | 4895 E Main St, Erin, TN 37061-4115 | 2014-02-27 |
| 1881834687 | Dickson Medical Associates, PC | Allergy & Immunology | 127 Crestview Park Dr, Dickson, TN 37055-2850 | 2009-03-06 |
| 1699915496 | Dickson Medical Associates, PC | Pediatrics | 125 Crestview Park Dr, Dickson, TN 37055-2850 | 2009-03-06 |
| 1518116904 | Dickson Medical Associates, PC | Internal Medicine | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2008-09-10 |
| 1356444699 | Dickson Medical Associates, PC | Pediatrics | 114 Highway 70 E, Dickson, TN 37055-7030 | 2006-09-05 |
| 1972606218 | Dickson Medical Associates, PC | Family Medicine | 758 Highway 46 S, Dickson, TN 37055-2556 | 2006-09-05 |
| 1689777922 | Dickson Medical Associates, PC | Surgery | 704 E College St, Dickson, TN 37055-2032 | 2006-09-05 |
| 1881702199 | Dickson Medical Associates, PC | Family Medicine | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2077 | 2006-08-27 |
| Street Address |
5194 HIGHWAY 100 SUITE 106 |
| City | LYLES |
| State | TN |
| Zip Code | 37098-2821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174526115 | Kay P Murphy | Nurse Practitioner | 5194 Highway 100, Ste 107, Lyles, TN 37098-2822 | 2005-05-23 |
| 1437303542 | Excel Physical Therapy, LLC | Physical Therapist | 5194 Highway 100, Suite 105, Lyles, TN 37098-2821 | 2008-11-17 |
| 1326118415 | Stephen M Mcclellan | Physical Therapist | 5194 Highway 100, Suite 105, Lyles, TN 37098-2821 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902224827 | Sole Supports, Inc. | Durable Medical Equipment & Medical Supplies | 7674 Highway 7, Lyles, TN 37098-1571 | 2014-03-29 |
| 1194717645 | Martha Jane Shepard | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-19 |
| 1659567527 | Perry County Medical Center, Inc. | Clinic/Center | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2007-09-24 |
| 1205828662 | Community Pharmacy Care, Inc. | Pharmacist | 7723 Clearview Church Ln, Lyles, TN 37098-1609 | 2005-08-21 |
| 1710535703 | Perry County Medical Center, Inc. | Dentist | 7723 Clearview Church Ln Ste 200, Lyles, TN 37098-1674 | 2019-09-03 |
| 1831676840 | Amanda Tidwell | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2018-07-23 |
| 1184968455 | Kjk LLC | Pharmacy | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-11-26 |
| 1952653057 | Joseph B Sweat | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-10-12 |
| 1265707533 | Sherry Lynn Tidwell | Registered Nurse | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-03-20 |
| 1881977684 | Mark Allen Graves | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2011-09-28 |
| Find all providers in zip 37098 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934790 | Zilla F Henricksen | Nurse Practitioner | 5194 Highway 100 Ste 106, Lyles, TN 37098-2822 | 2015-10-14 |
| 1174526115 | Kay P Murphy | Nurse Practitioner | 5194 Highway 100, Ste 107, Lyles, TN 37098-2822 | 2005-05-23 |
| 1831676840 | Amanda Tidwell | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2018-07-23 |
| 1952653057 | Joseph B Sweat | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2012-10-12 |
| 1881977684 | Mark Allen Graves | Nurse Practitioner | 7723 Clearview Church Ln, Lyles, TN 37098-1674 | 2011-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003731 | Erika Erickson | Nurse Practitioner | 2205 Steel Ct, Nolensville, TN 37135-9562 | 2020-11-06 |
| 1275134025 | Dara Downs | Nurse Practitioner | 1120 Glenview Dr, Nashville, TN 37206-3832 | 2020-11-06 |
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1780285932 | Caitlyn Lawson | Nurse Practitioner | 7637 Saddlebrooke Dr, Knoxville, TN 37938-4044 | 2020-11-04 |
| 1134729965 | Jamie Mclemore | Nurse Practitioner | 17619 Hwy 58 North, Decatur, TN 37322-3732 | 2020-10-30 |
| 1154921120 | Melissa Ann Mcnutt | Nurse Practitioner | 941 Windsor Ave, Bristol, TN 37620-2155 | 2020-10-29 |
| 1033718960 | Kasi Wells | Nurse Practitioner | 1421 Porter Rd Ste 4, Nashville, TN 37206-1669 | 2020-10-21 |
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1407454101 | Jason D Jones | Nurse Practitioner | 213 Austell Dr, Columbia, TN 38401-5531 | 2020-10-14 |
| 1295333045 | Alma Sue Moore | Nurse Practitioner | 14 Shady Lane Est, Humboldt, TN 38343-6650 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.