Individual provider Active NPI

Caitlyn Dillon, PA-C

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1467041186
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761
Phone
(615) 225-2070
NPI assigned
Jan 17, 2021
Last updated
Jun 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761

Mailing address

1574 Medical Center Pkwy Ste 104
Murfreesboro, TN 37129-3761
Phone (615) 225-2070

Other practice location 1

3266 Memorial Blvd
Suite F
Murfreesboro, TN 37128
Phone (615) 900-3515

Other practice location 2

1636 New Salem Hwy
Murfreesboro, TN 37128-7037
Phone (615) 900-1176

Other practice location 3

537 Stonecrest Pkwy Ste 200
Smyrna, TN 37167-6896
Phone (615) 904-2010

Other practice location 4

1608 Williams Dr Ste 200
Murfreesboro, TN 37129-3195
Phone (615) 904-2010

Other practice location 5

5607 Franklin Rd Ste A1
Murfreesboro, TN 37128-3547
Phone (615) 962-7727

Other practice location 6

3400 S Church St Ste B
Murfreesboro, TN 37127-7218
Phone (615) 639-5515

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
I20210927000024 TN Practitioner - Physician Assistant 1557768017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stones River Dermatology PLCGroup PAC ID 9436346293, 5 clinicians

Practice addresses (Care Compare)

515 A Highland Terrace
Murfreesboro, TN 37130-2423

515 A N Highland Terrace
Murfressboro, TN 37130-2423
Phone (615) 904-2010

515 Highland Ter
Suite a
Murfreesboro, TN 37130-2423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4465TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emedical Group Inc Past Accepting new patients
Gateway Primary Care LLC PastSince Oct 6, 2024 Accepting new patients

Organizations & group practices 4

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": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1467041186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY STE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293761",
            "telephone_number": "615-225-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 MEDICAL CENTER PKWY STE 104",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293761",
            "telephone_number": "615-225-2070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3266 Memorial Blvd",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "37128",
            "country_code": "US",
            "telephone_number": "615-900-3515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1636 New Salem Hwy",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371287037",
            "country_code": "US",
            "telephone_number": "615-900-1176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "537 Stonecrest Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371676896",
            "country_code": "US",
            "telephone_number": "615-904-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1608 Williams Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371293195",
            "country_code": "US",
            "telephone_number": "615-904-2010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5607 Franklin Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371283547",
            "country_code": "US",
            "telephone_number": "615-962-7727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 S Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371277218",
            "country_code": "US",
            "telephone_number": "615-639-5515",
            "fax_number": "615-639-5505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "CAITLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-17",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.