Individual provider Active NPI

Rachel Chacko Tiemann, MPAS, PA-C

  • Physician Assistant
  • Franklin, TN
National Provider Identifier
1417376005
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5335 Issued in TN
Practice address
155 Covey Dr Ste 200
Franklin, TN 37067-6008
Phone
(615) 835-3220
Fax
(615) 835-3235
NPI assigned
Apr 10, 2014
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5335 TN Primary
Dermatology Physician 207N00000X 5335 TN
Medical Physician Assistant 363AM0700X 5335 TN

Addresses

Primary practice location

155 Covey Dr Ste 200
Franklin, TN 37067-6008

Mailing address

1195 Old Hickory Blvd Ste 200
Brentwood, TN 37027-4239
Phone (615) 835-3220

Other practice location 1

1195 Old Hickory Blvd Ste 202
Brentwood, TN 37027-4239
Phone (615) 835-3220

Other names 1

  • Rachel Chacko 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
I20231019001957 TN Practitioner - Physician Assistant 1355657149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ren Dermatology, PLLCGroup PAC ID 2365677986, 6 clinicians

Practice addresses (Care Compare)

1195 Old Hickory Blvd
Brentwood, TN 37027-4239
Phone (615) 835-3220

155 Covey Dr
Suite 200
Franklin, TN 37067-6008
Phone (615) 835-3220

Merit-based Incentive Payment System (MIPS)

Final score
94.19 of 100Reported as group
Quality
88.38
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5335TNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Center of Pure Dermatology PastSince Aug 30, 2020 Accepting new patients

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1417376005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 COVEY DR STE 200",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676008",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1195 Old Hickory Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370274239",
            "country_code": "US",
            "telephone_number": "615-835-3220",
            "fax_number": "615-835-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEMANN",
        "first_name": "RACHEL",
        "middle_name": "CHACKO",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5335",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "5335",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "5335",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CHACKO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.