Tammie Wampler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0000000926 Issued in TN

Practice address

107 Glidepath Way
Lebanon, TN 37090-4133

Phone

(615) 449-5771

Fax

(615) 449-5740

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Knoxville Dermatology Group PCGroup PAC ID 8123009636, 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: twampler@aadermaffiliates.emadirect.md

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.

• Knoxville Dermatology Group PC

  • Dermatology Physician
  • Knoxville, TN
  • NPI 1760419014
  Medicare reassignment Care Compare group
• Advanced Sleep Consultants of Middle TN, Inc

  • Medical Specialty Clinic/Center
  • Lebanon, TN
  • NPI 1912048307
  NPD (past)
• East Tennessee Dermatology Group, PC

  • Dermatology Physician
  • Alcoa, TN
  • NPI 1891050407
  NPD (past)
• Southeastern Dermatology Group PA

  dba Dermatology Specialists

  • Dermatology Physician
  • Panama City, FL
  • NPI 1518972231
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1740211788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLIDEPATH WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904133",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLIDEPATH WAY",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370904133",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Fox Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379223369",
            "country_code": "US",
            "telephone_number": "865-690-9467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1928 Alcoa Hwy Ste 209",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201504",
            "country_code": "US",
            "telephone_number": "865-524-2547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Dowell Springs Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379092448",
            "country_code": "US",
            "telephone_number": "865-524-2547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAMPLER",
        "first_name": "TAMMIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000000926",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA0000000926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q052517",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4179722",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05953)
• Walgreen Co (Walgreens #12513)
• Daisy May Walker, PA-C
• Leslie Suzanne Wallace, DMD
• William C Wallace, PT
• Brooke Warren, APN
• Larimore C Warren, M.D., P.C.
• Marla Renee Warren, NURSE PRACTITIONER
• Charles Eddie Waters, PHARMD, BCPS, CGP
• Mary Elizabeth Watts, D.D.S.

• Medical Physician Assistant in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.