Lacie Dillon, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2514 Issued in TN

Practice address

103 W Main St Ste C
Cookeville, TN 38506-2310

Phone

(931) 218-6463

NPI assigned

Apr 16, 2014

Last updated

May 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Highland Rim Respiratory Specialists

  • Specialist
  • Cookeville, TN
  • NPI 1619900826
  NPD
• White County Physician Services Inc

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1417950122
  NPD (past)

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1083033195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 LACIE DR",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385065078",
            "telephone_number": "931-265-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST STE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385062310",
            "telephone_number": "931-218-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "LACIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Depriest, R.N.
• Diabetes & Geriatrics Specialist LLC
• John M Dickson, APRN
• Michael Wayne Dietz, D.D.S
• Christopher Parish Dill, M.D.
• Lauren B Dillon, PHARMD
• Lisa Marie Dillon, FNP-C
• Vicky Dillon, FNP
• Sarah Dirro, SLP
• Charmin L Dishman, RN

• Medical Physician Assistant in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.