Individual provider Active NPI

Cassie Lee Dahlin, PA-C

  • Physician Assistant
  • Cleveland, TN
National Provider Identifier
1467705681
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2234 Issued in TN
Practice address
645 Paul Huff Pkwy NW Ste 105
Cleveland, TN 37312-3150
Phone
(423) 790-7750
Fax
(423) 790-7659
NPI assigned
Oct 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 2234 TN Primary

Addresses

Primary practice location

645 Paul Huff Pkwy NW Ste 105
Cleveland, TN 37312-3150

Mailing address

1949 Gunbarrel Rd Ste 230
Chattanooga, TN 37421-3187
Phone (423) 495-4349

Other practice location 1

1416 S Roan St
Johnson City, TN 37601-7332
Phone (423) 979-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130109000288 TN Practitioner - Physician Assistant 0042463788 Reassigns benefits to 3 organizations
I20190917000192 GA Practitioner - Physician Assistant 0042463788

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Lincoln Memorial University Medical Department, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

170 Mouse Creek Rd NW
Cleveland, TN 37312-3840
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

306 Cherokee Blvd
Suite 108
Chattanooga, TN 37405-3811
Phone (423) 259-5997

9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 458-1426

Hospital & facility affiliations

  • Hamilton Medical Center Hospital, Dalton, GA, CCN 110001

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2234TNMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc CurrentSince Feb 18, 2018 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Feb 18, 2018 Accepting new patients
Castle Clinic PLC CurrentSince Nov 1, 2000 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2018 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2018 Accepting new patients
Hamilton Medical Center, Inc. Past Accepting new patients

Locations

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

645 Paul Huff Pkwy NW
Ste 105
Cleveland, TN 37312
Phone (423) 790-7750

1416 S Roan St
Johnson City, TN 37601
Phone (423) 929-9959

Interoperability endpoints

  • Direct secure messaging: cassie.dahlin.1@9052.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467705681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD STE 230",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213187",
            "telephone_number": "423-495-4349",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PAUL HUFF PKWY NW STE 105",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123150",
            "telephone_number": "423-790-7750",
            "fax_number": "423-790-7659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1416 S Roan St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376017332",
            "country_code": "US",
            "telephone_number": "423-979-6257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHLIN",
        "first_name": "CASSIE",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.