Individual provider Active NPI

Lacie Alison Baker, PA-C

  • Surgical Physician Assistant
  • Dickson, TN
National Provider Identifier
1205080504
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1665 Issued in TN
Practice address
196 Hillview St
Dickson, TN 37055-1285
Phone
(615) 740-0080
NPI assigned
Nov 13, 2008
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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 1665 TN
Surgical Physician Assistant 363AS0400X 1665 TN Primary

Addresses

Primary practice location

196 Hillview St
Dickson, TN 37055-1285

Mailing address

4022 Miles Johnson Pkwy
Spring Hill, TN 37174-6415
Phone (615) 740-0080

Other practice location 1

4816 Main St Ste L
Spring Hill, TN 37174-3254
Phone (615) 861-4444

Other practice location 2

1650 Murfreesboro Rd Ste 245
Franklin, TN 37067-5089
Phone (615) 706-2050

Other practice location 3

115 Willard Hagan Drive
Ste 100
Lebanon, TN 37090
Phone (615) 547-6700

Other identifiers 2

IdentifierTypeStateIssuer
4266994OtherTNBCBS
4266963OtherTNBCBS

Other names 1

  • Lacie Alison Wiles Former name

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
I20090623000503 TN Practitioner - Physician Assistant 7214088707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Orthopaedic and Sports Medicine PLLCGroup PAC ID 1355404336, 4 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

115 Willard Hagan Dr
Suite 100
Lebanon, TN 37090-1023
Phone (615) 547-6700

196 Hillview St
Dickson, TN 37055-1285
Phone (615) 740-0080

980 Professional Park Dr
Suite D
Clarksville, TN 37040-5251
Phone (931) 221-9967

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1665TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Tennessee LLC CurrentSince Feb 7, 2026 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Feb 7, 2026 Accepting new patients
Dickson Orthopaedic and Sports Medicine PLLC CurrentSince Nov 1, 2014 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC PastSince Mar 1, 2026 Accepting new patients

Locations

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

196 Hillview St
Dickson, TN 37055
Phone (615) 740-0080

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

4816 Main St
Ste L
Spring Hill, TN 37174
Phone (615) 861-4444

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 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": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1205080504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4022 MILES JOHNSON PKWY",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746415",
            "telephone_number": "615-740-0080",
            "fax_number": "615-467-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 HILLVIEW ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551285",
            "telephone_number": "615-740-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4816 Main St Ste L",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371743254",
            "country_code": "US",
            "telephone_number": "615-861-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Murfreesboro Rd Ste 245",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370675089",
            "country_code": "US",
            "telephone_number": "615-706-2050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Willard Hagan Drive",
            "address_2": "Ste   100",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "37090",
            "country_code": "US",
            "telephone_number": "615-547-6700",
            "fax_number": "615-547-6707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "LACIE",
        "middle_name": "ALISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1665",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "1665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4266994",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4266963",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACIE",
            "last_name": "WILES",
            "middle_name": "ALISON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

Verify at the official NPI Registry.