Individual provider Active NPI

Tiffany Dotson, PA-C

  • Medical Physician Assistant
  • Dickson, TN
National Provider Identifier
1033459672
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2223 Issued in TN
Practice address
113 Highway 70 E Ste I
Dickson, TN 37055-2075
Phone
(615) 441-4487
Fax
(615) 441-4575
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2223 TN Primary

Addresses

Primary practice location

113 Highway 70 E Ste I
Dickson, TN 37055-2075

Mailing address

113 Highway 70 E Ste I
Dickson, TN 37055-2075
Phone (423) 368-1124

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
I20130711000776 TN Practitioner - Physician Assistant 1153561360 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natchez Medical Associates, LLCGroup PAC ID 1254678733, 5 clinicians

Practice addresses (Care Compare)

113 Hwy 70 E
Dickson, TN 37055-2075
Phone (615) 441-4503

Hospital & facility affiliations

  • Tristar Horizon Medical Center Hospital, Dickson, TN, CCN 440046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2223TNMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: tiffany.dotson@hca1.eclinicaldirectplus.com

Organizations & group practices 4

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": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1033459672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HIGHWAY 70 E STE I",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552075",
            "telephone_number": "423-368-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HIGHWAY 70 E STE I",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552075",
            "telephone_number": "615-441-4487",
            "fax_number": "615-441-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.