Individual provider Active NPI

Caroline Balmer Lundy

  • Physician Assistant
  • Cleveland, TN
National Provider Identifier
1467319467
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2253 Chambliss Ave NW Ste 200
Cleveland, TN 37311-3861
Phone
(423) 339-2889
NPI assigned
Jan 9, 2026
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 NU Primary

Addresses

Primary practice location

2253 Chambliss Ave NW Ste 200
Cleveland, TN 37311-3861

Mailing address

2253 Chambliss Ave NW Ste 200
Cleveland, TN 37311-3861
Phone (423) 339-2889

Other names 1

  • Caroline Olivia Balmer 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
I20260305002732 TN Practitioner - Physician Assistant 2062994387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yium, Shenouda and Miller PtrshpGroup PAC ID 3274510037, 49 clinicians

Practice addresses (Care Compare)

2253 Chambliss Ave NW
Suite 200
Cleveland, TN 37311-3861
Phone (423) 339-3861

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6953TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yium, Shenouda & Miller Ptrshp CurrentSince Feb 11, 2026 Accepting new patients

Locations

251 N Lyerly St
Ste 100
Chattanooga, TN 37404
Phone (423) 826-8000

2253 Chambliss Ave NW
Ste 200
Cleveland, TN 37311
Phone (423) 339-2889

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1467319467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-339-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 CHAMBLISS AVE NW STE 200",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113861",
            "telephone_number": "423-339-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "CAROLINE",
        "middle_name": "BALMER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "BALMER",
            "middle_name": "OLIVIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.