Individual provider Active NPI

Hillary Lynn Tipton, PA-C

  • Surgical Physician Assistant
  • Maryville, TN
National Provider Identifier
1053796227
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA109036 Issued in FL
Practice address
2081 Colonial Cir
Maryville, TN 37803-2678
Phone
(865) 661-8513
NPI assigned
Jul 29, 2015
Last updated
Dec 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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 NU
Surgical Physician Assistant 363AS0400X PA109036 FL Primary

Addresses

Primary practice location

2081 Colonial Cir
Maryville, TN 37803-2678

Mailing address

2081 Colonial Cir
Maryville, TN 37803-2678
Phone (865) 661-8513

Other practice location 1

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other identifiers 2

IdentifierTypeStateIssuer
WQ766OtherFLHFPS
WQ765OtherFLHFMG

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HILLARY.TIPTON@hca4.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160119002440 FL Practitioner - Physician Assistant 0143523571 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians
Health First Physician Specialties IncGroup PAC ID 9537229646, 58 clinicians
Lawnwood Healthcare Specialists LLCGroup PAC ID 4789750118, 47 clinicians

Practice addresses (Care Compare)

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

1700 S 23Rd St
Fort Pierce, FL 34950-4803
Phone (772) 461-4000

2402 Frist Blvd
Fort Pierce, FL 34950-4838
Phone (772) 462-3939

699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA109036FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Oct 17, 2025 Accepting new patients
Palm Beach General Surgery LLC CurrentSince Oct 10, 2017 Accepting new patients
Health First Physician Specialties Inc CurrentSince Oct 16, 2025 Accepting new patients
Health First Medical Group, LLC CurrentSince Oct 17, 2025 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

2402 Frist Blvd
Ste 204
Fort Pierce, FL 34950
Phone (772) 466-1113

12953 Palms West Dr
Ste 201
Loxahatchee, FL 33470
Phone (561) 790-2111

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1350 Hickory St
Ste 101
Melbourne, FL 32901
Phone (321) 434-1401

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

293 NW Peacock Blvd
Ste 202
Port St Lucie, FL 34986
Phone (772) 595-5302

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: hillary.tipton@hca4.eclinicaldirectplus.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 3

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1053796227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 COLONIAL CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032678",
            "telephone_number": "865-661-8513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 COLONIAL CIR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032678",
            "telephone_number": "865-661-8513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "HILLARY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA109036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFPS",
            "identifier": "WQ766",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HFMG",
            "identifier": "WQ765",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HILLARY.TIPTON@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2081 Colonial Cir",
            "city": "Maryville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378032678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.