Individual provider Active NPI

Tabitha Anne Casilli, M.D.

  • Pediatrics Physician
  • Lebanon, TN
National Provider Identifier
1346568953
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
49581 Issued in TN
Practice address
920 S Hartmann Dr Ste 200
Lebanon, TN 37090-4137
Phone
(629) 255-2024
Fax
(629) 255-4215
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 49581 TN Primary

Addresses

Primary practice location

920 S Hartmann Dr Ste 200
Lebanon, TN 37090-4137

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other practice location 1

325 Old Pleasant Grove Rd
MT Juliet, TN 37122-4493
Phone (629) 255-2024

Other practice location 2

3901 Central Pike Ste 251
Hermitage, TN 37076-3421
Phone (629) 255-2024

Other identifiers 1

IdentifierTypeStateIssuer
1531699MedicaidTN

Other names 1

  • Tabitha Anne Lambert 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819000956 TN Practitioner - Pediatric Medicine 2264858471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49581TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC CurrentSince Jan 1, 2021 Accepting new patients
Heritage Medical Associates PC Pediatrics CurrentSince Jan 1, 2021 Accepting new patients

Locations

3901 Central Pike
Ste 251
Hermitage, TN 37076
Phone (615) 232-8033

920 S Hartmann Dr
Ste 200
Lebanon, TN 37090
Phone (615) 466-9770

2025 N Mount Juliet Rd
Ste 200
Mt Juliet, TN 37122
Phone (615) 754-7337

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (629) 255-3486

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

Interoperability endpoints

  • Direct secure messaging: tabithacasilli@hma.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1346568953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486",
            "fax_number": "629-255-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 S HARTMANN DR STE 200",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904137",
            "telephone_number": "629-255-2024",
            "fax_number": "629-255-4215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Old Pleasant Grove Rd",
            "address_purpose": "LOCATION",
            "city": "MT Juliet",
            "state": "TN",
            "postal_code": "371224493",
            "country_code": "US",
            "telephone_number": "629-255-2024",
            "fax_number": "629-255-4215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Central Pike Ste 251",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370763421",
            "country_code": "US",
            "telephone_number": "629-255-2024",
            "fax_number": "629-255-4215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASILLI",
        "first_name": "TABITHA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "49581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1531699",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TABITHA",
            "last_name": "LAMBERT",
            "middle_name": "ANNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.