Alex Lee Stidham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6765 Issued in TN

Practice address

619 Blue Springs Rd
Speedwell, TN 37870-1847

Phone

(423) 489-6257

NPI assigned

Sep 4, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Lincoln Memorial University Medical Department, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic LLC 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Gatlinburg, TN
  • NPI 1023621646

  TN

  Medicare reassignment Care Compare group NPD (past)
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Crossville, TN
  • NPI 1548017601
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Crossville, TN
  • NPI 1871191874
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Greensburg, IN
  • NPI 1194410720
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1194586461
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1376232561
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Palestine, TX
  • NPI 1386479392
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Oakland City, IN
  • NPI 1407537137
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Crawfordsville, IN
  • NPI 1831810431
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Valley, AL
  • NPI 1912696923
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1972294213
  Care Compare group
• Access Medical Clinic LLC

  • Rural Health Clinic/Center
  • Jacksboro, TN
  • NPI 1114881117
  NPD

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1023998655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 BLUE SPRINGS RD",
            "city": "SPEEDWELL",
            "state": "TN",
            "postal_code": "378701847",
            "telephone_number": "423-489-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 BLUE SPRINGS RD",
            "city": "SPEEDWELL",
            "state": "TN",
            "postal_code": "378701847",
            "telephone_number": "423-489-6257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Tanner Pl",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "TN",
            "postal_code": "377166684",
            "country_code": "US",
            "telephone_number": "865-855-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIDHAM",
        "first_name": "ALEX",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-04",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Meister, DMD
• Jefffrey Moore
• Louise Thackston Rikard
• Loisann Tomek Schaub, D.C.
• Servolution Health Services Inc

• All providers in Speedwell, TN
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.