Individual provider Active NPI

Ryan Dehm

  • Physician Assistant
  • Lewisburg, TN
National Provider Identifier
1740132380
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6978 Issued in TN
Practice address
1307 N Ellington Pkwy
Lewisburg, TN 37091-2217
Phone
(931) 359-4555
NPI assigned
Feb 13, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 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 6978 TN Primary

Addresses

Primary practice location

1307 N Ellington Pkwy
Lewisburg, TN 37091-2217

Mailing address

1307 N Ellington Pkwy
Lewisburg, TN 37091-2217

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
I20260316000608 TN Practitioner - Physician Assistant 9436632643 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Feb 24, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 24, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Feb 24, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Feb 24, 2026 Accepting new patients

Locations

1307 N Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 359-4555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1740132380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 N ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 N ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912217",
            "telephone_number": "931-359-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHM",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.