DICKSON MEDICAL ASSOCIATES PC NPI 1912015108

NPI Information

NPI: 1912015108
Provider Name: DICKSON MEDICAL ASSOCIATES, PC

Doing Business As: DMA LYLES

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
5194 HIGHWAY 100
SUITE 106
LYLES, TN
ZIP 37098
Phone: (931) 670-1102
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DICKSON MEDICAL ASSOCIATES, PC is a family nurse practitioner in Lyles, TN. DICKSON MEDICAL ASSOCIATES, PC NPI is 1912015108. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dma Lyles.

The provider's business location address is:

5194 HIGHWAY 100
SUITE 106
LYLES, TN
ZIP 37098-821
Phone: (931) 670-1102
Fax: (615) 446-1357

The provider's authorized official is Cindy A Lighthill .
The authorized official title is Executive Director and has the following contact phone number (615) 441-4477.

The enumeration date for this NPI number is 8/28/2006 and was last updated on 9/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3721355	MEDICAID	TENNESSEE
2	0325720003	MEDICARE NSC
3	3158185	OTHER	TENNESSEE	BCBS TN GROUP PIN
4	3721355	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	GROUP MEDICARE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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