DICKSON MEDICAL ASSOCIATES, PC (NPI# 1518116904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518116904 |
Entity Type | Organization |
Organization Name | DICKSON MEDICAL ASSOCIATES, PC |
Other Organization Name | DECATUR PULMONARY & SLEEP SPECIALIST |
Practice Address |
969 Tennessee Ave S Parsons TN 38363-3700 |
Mailing Address |
113 Highway 70 E Dickson TN 37055-2075 |
Practice Telephone | 6154414520 |
Practice Fax Number | 6154461357 |
Mailing Telephone | 6154465121 |
Mailing Fax Number | 6154461357 |
Enumeration Date | 2008-09-10 |
Last Update Date | 2008-09-11 |
Authorized Official Name | WILLIAM B LEGIER (ADMINISTRATOR) |
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 | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BCBS TN PIN | 3158185 | 01 |
TN | 3721355 | 05 |
Other Name | Type Code |
---|---|
Decatur Pulmonary & Sleep Specialist | 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 |
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 |
1912015108 | Dickson Medical Associates, PC | Nurse Practitioner | 5194 Highway 100, Suite 106, Lyles, TN 37098-2821 | 2006-08-28 |
1881702199 | Dickson Medical Associates, PC | Family Medicine | 110 Mathis Dr, Suite 103, Dickson, TN 37055-2077 | 2006-08-27 |
Street Address |
969 TENNESSEE AVE S |
City | PARSONS |
State | TN |
Zip Code | 38363-3700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104804566 | Decatur County General Hospital | General Acute Care Hospital | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2006-01-05 |
1255704961 | Botanical Emergency Physicians, LLC | Physician Assistant | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2015-11-03 |
1871920751 | Beech River Emergency Physicians, LLC | Emergency Medicine | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2013-10-08 |
1316238108 | Top Flight Medical Group LLC | Specialist | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2011-04-27 |
1497985709 | Amy Lee White | Physical Therapy Assistant | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2009-07-21 |
1891943296 | Tasha Lynn Ing | General Acute Care Hospital | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2008-08-28 |
1104099712 | Decatur County General Hospital | Medicare Defined Swing Bed Unit | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2008-04-04 |
1366611394 | Decatur County General Hospital | General Acute Care Hospital | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2008-02-25 |
1770624108 | Martina Okwueze | Emergency Medicine | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2007-02-09 |
1508838376 | Charles M Alderson | Family Medicine | 969 Tennessee Ave S, Parsons, TN 38363-3700 | 2006-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689183196 | Tennessee Quality Homecare, Inc. | Homemaker | 1971 Tennessee Avenue North, Parsons, TN 38363 | 2017-09-27 |
1063805968 | Green Crest Assisted Living Centers, Inc. | Assisted Living Facility | 55 Herbert Volner Lane, Parsons, TN 38363 | 2015-03-17 |
1538338637 | Anita Ann Gratton | Physical Medicine & Rehabilitation | 969 Tn Ave South, Parsons, TN 38363 | 2008-02-22 |
1467561258 | Rehab America Inc | Clinic/Center | 59 Central Ln, Box 397, Parsons, TN 38363 | 2006-08-29 |
1972610087 | Amy Johnson Hosea | Occupational Therapist | 135 Jordan Lane, Parsons, TN 38363 | 2006-08-24 |
1669495883 | Ammed Inc | Durable Medical Equipment & Medical Supplies | 135 Jordan Ln, Parsons, TN 38363 | 2006-07-26 |
1447278221 | Ampharm, Inc. | Pharmacy | 1971 Tennessee Ave N, Parsons, TN 38363 | 2006-07-18 |
1396702536 | Tennessee Valley Home Care, Inc. | Home Health | 580 Tennessee Ave N, Parsons, TN 38363 | 2006-05-01 |
1811952674 | Decatur County Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 726 Kentucky Ave S, Parsons, TN 38363 | 2006-04-17 |
1073587283 | Lisa K Medlin | Nurse Practitioner | 50 Skyline Lane, Parsons, TN 38363 | 2006-02-14 |
Find all providers in zip 38363 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962035774 | East Tennessee Pulmonary and Sleep Medicine | Internal Medicine | 1404 Tusculum Blvd Ste 2200, Greeneville, TN 37745-4395 | 2020-02-20 |
1043722754 | Nathan H Mull Iv LLC | Internal Medicine | 200 Sylvan Dr, Lookout Mountain, TN 37350-1630 | 2017-11-03 |
1639694615 | Eventa LLC | Internal Medicine | 102 W Court Sq, Livingston, TN 38570-1882 | 2017-08-10 |
1669903803 | Blue Ridge Medical Management Corporation | Internal Medicine | 1497 W Elk Ave Ste 22b, Elizabethton, TN 37643-2896 | 2017-03-21 |
1437502960 | Hawkins Physician Services,pllc | Internal Medicine | 1112 E Main St, Rogersville, TN 37857-2808 | 2016-07-20 |
1063830826 | Rachel Guthrie | Internal Medicine | 1900 N Winston Rd Ste 501, Knoxville, TN 37919-3605 | 2014-03-30 |
1326312091 | Theodore Feld Reiss | Internal Medicine | 1161 21st Ave South T-1218 Medical Center North, Vanderbilt University School of Medicine, Nashville, TN 37232-2650 | 2012-02-28 |
1699065722 | Radhika Shah | Internal Medicine | 979 E 3rd St Ste C735, Chattanooga, TN 37403-3310 | 2011-04-11 |
1902103666 | Amanda Kay Vanlandingham | Internal Medicine | 310 N State of Franklin Rd Ste 303, Johnson City, TN 37604-6051 | 2011-02-16 |
1528360765 | Geraldo Enrique Holguin | Internal Medicine | 725 Glenwood Dr Ste E500, Chattanooga, TN 37404-1138 | 2010-11-20 |
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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.