Active NPI
Lacie Alison Baker, PA-C
- Surgical Physician Assistant
- Dickson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1665
- Practice address
- 196 Hillview St
Dickson, TN 37055-1285 - Phone
- (615) 740-0080
- NPI assigned
- Nov 13, 2008
- Last updated
- Mar 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4266994 | Other | TN | BCBS |
| 4266963 | Other | TN | BCBS |
Other names 1
- Lacie Alison Wiles
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
Enrollment records 1
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
- Select Physical Therapy Holdings Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1665 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Tennessee LLC | Current | Accepting new patients | |
| Privia Medical Group Tennessee LLC | Current | Accepting new patients | |
| Dickson Orthopaedic and Sports Medicine PLLC | Current | Accepting new patients | |
| Premier Orthopaedics & Sports Medicine, PLC | Past | 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.
-
- Orthopaedic Surgery Physician
- Dickson, TN
- NPI 1548412885
-
dba Hughston Clinic Orthopaedics
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1972577351
-
- Family Medicine Physician
- Nashville, TN
- NPI 1376110858
-
dba Sports Ortho Urgent Care
- Sports Medicine (Orthopaedic Surgery) Physician
- Nashville, TN
- NPI 1215694229
-
dba Hughston Clinic Orthopaedics
- Durable Medical Equipment & Medical Supplies
- Lebanon, TN
- NPI 1437584299
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Horizon Medical Center
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.