Individual provider Active NPI

Lonnie Scholl, PA-C

  • Physician Assistant
  • Tullahoma, TN
National Provider Identifier
1043264575
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
771 Issued in OK
Practice address
1821 N Washington St
Tullahoma, TN 37388-2221
Phone
(931) 455-2005
Fax
(931) 455-4450
NPI assigned
May 20, 2006
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 771 OK Primary

Addresses

Primary practice location

1821 N Washington St
Tullahoma, TN 37388-2221

Mailing address

1821 N Washington St
Tullahoma, TN 37388-2221
Phone (931) 455-2005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230202000461 VA Practitioner - Physician Assistant 7719969021 Reassigns benefits to 1 organization
I20250502000987 TN Practitioner - Physician Assistant 7719969021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marvel Clinic P.C.Group PAC ID 0547454811, 6 clinicians

Practice addresses (Care Compare)

1821 N Washington St
Tullahoma, TN 37388-2221
Phone (931) 455-2005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
78.78
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6496TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Day Surgery Current Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1821 N Washington St
Tullahoma, TN 37388
Phone (931) 455-2005

Interoperability endpoints

  • Direct secure messaging: lscholl87399@capefearvalley.direct-ci.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1043264575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 N WASHINGTON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882221",
            "telephone_number": "931-455-2005",
            "fax_number": "931-455-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 N WASHINGTON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882221",
            "telephone_number": "931-455-2005",
            "fax_number": "931-455-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLL",
        "first_name": "LONNIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.