Individual provider Active NPI

Grace Leslie Dillard

  • Physician Assistant
  • Carthage, TN
National Provider Identifier
1013600915
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6173 Issued in TN
Practice address
133 Hospital Dr Ste 500
Carthage, TN 37030-4020
Phone
(615) 735-0700
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6173 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

133 Hospital Dr Ste 500
Carthage, TN 37030-4020

Mailing address

133 Hospital Dr Ste 500
Carthage, TN 37030-4020
Phone (615) 735-0700

Other practice location 1

333 Murfreesboro Pike
Nashville, TN 37210-2877
Phone (615) 248-1225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125002729 TN Practitioner - Physician Assistant 6305371592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sumner Physician Practices LLC 59 clinicians

Practice addresses (Care Compare)

133 Hospital Dr
Suite 500
Carthage, TN 37030-4020
Phone (615) 735-0700

Hospital & facility affiliations

  • Highpoint Health-Riverview With Ascension Saint TH Hospital, Carthage, TN, CCN 441307

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6173TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Physician Practices LLC CurrentSince Oct 21, 2024 Accepting new patients
Sumner Physician Practices, LLC CurrentSince Oct 21, 2024 Accepting new patients
Sumner Physician Practices LLC Past Accepting new patients
Trevecca Nazarene University PastSince Jun 1, 2023 Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

133 Hospital Dr
Ste 500
Carthage, TN 37030
Phone (615) 735-0700

225 Big Station Camp Blvd
Ste 211
Gallatin, TN 37066
Phone (615) 328-3480

Interoperability endpoints

  • Direct secure messaging: grace.leslie.1@19363.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1013600915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HOSPITAL DR STE 500",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304020",
            "telephone_number": "615-735-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 HOSPITAL DR STE 500",
            "city": "CARTHAGE",
            "state": "TN",
            "postal_code": "370304020",
            "telephone_number": "615-735-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372102877",
            "country_code": "US",
            "telephone_number": "615-248-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "GRACE",
        "middle_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6173",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TN

Sources for this page

Verify at the official NPI Registry.