Alyssa Dickerson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6275 Issued in TN

Practice address

854 W James M Campbell Blvd Ste 403
Columbia, TN 38401-4659

Phone

(931) 380-0075

Fax

(931) 388-7502

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Maury Regional Hospital Marshall Medical Center

  dba Maury Regional Urgent Care Columbia

  • Rural Health Clinic/Center
  • Columbia, TN
  • NPI 1700406881
  NPD (past)

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1710618772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W JAMES M CAMPBELL BLVD STE 303",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014672",
            "telephone_number": "931-380-0075",
            "fax_number": "931-388-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W JAMES M CAMPBELL BLVD STE 403",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014659",
            "telephone_number": "931-380-0075",
            "fax_number": "931-388-7502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "413 S Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410175446",
            "country_code": "US",
            "telephone_number": "859-301-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "6275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derm Direct PLLC
• Ashley Derryberry
• Kennedy Dewey-Mighell, LAT, ATC
• Varun Choudary Dhulipala, M.D.
• Dialysis Associates LLC (Fresenius Medical Care Columbia Tennessee)
• Stanley M Dickerson, O.D.
• Timothy Clayton Dickey, FNP-C
• James Lewis Dickson, D.D.S.
• Danielle Diefenbach
• Amanda Colette Dierking

• Family Medicine Physician in Columbia, TN
• Providers in Columbia, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.