Madelyn Lattyak, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1801 N Jackson St Ste 100a
Tullahoma, TN 37388-8259

Phone

(931) 393-7831

NPI assigned

Sep 8, 2026

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

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1346150919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BURLCREST CT",
            "city": "MERIDIANVILLE",
            "state": "AL",
            "postal_code": "357591669",
            "telephone_number": "724-977-4745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N JACKSON ST STE 100A",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373888259",
            "telephone_number": "931-393-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Cedar Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373883275",
            "country_code": "US",
            "telephone_number": "931-563-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATTYAK",
        "first_name": "MADELYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Langham, B.S
• Cory Lapeze
• Marshall R Laplata, DO
• Derrick Larue, PHARMD
• Ashley Lashley, DMD
• Patricia Ann Lawhorn, RN
• James Edward Lawson, DC
• Rachel Katherine Anthony Leake
• Connie S Leanza, CRNP
• Ladonna Marie Ledford, NP

• Medical Physician Assistant in Tullahoma, TN
• Providers in Tullahoma, 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 Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.