Lauren Marshall Dutton, PA
Individual provider Active NPI Medical Physician Assistant · Thompsons Station, TN
NPI 1982330775 · NPPES record last updated Jun 25, 2025
Key facts
- NPI
- 1982330775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5759 (TN)
- Practice address
- 4726 Traders Way
Thompsons Station, TN 37179-5366 - Phone
- (615) 550-2955
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Little Clinic of Tennessee LLC
Practice addresses (Care Compare)
4432 Veterans Pkwy
Murfreesboro, TN 37128-3977
Phone (615) 648-8505
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250108002273 | TN | Practitioner - Physician Assistant | 1951839620 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5759 | TN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevecca Nazarene University | Past |
Accepting new patients |
Interoperability endpoints
- lauren.dutton@krogerhealth.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5759 | TN | |
| Medical Physician Assistant | 363AM0700X | 5759 | TN | Yes |
Addresses
Primary practice location
4726 Traders Way
Thompsons Station, TN 37179-5366
Mailing address
PO Box 932958
Cleveland, OH 44193-0028
Phone (615) 425-4200
Other names
- Lauren Marshall Borst
Other providers in Thompsons Station, TN
- Converse With Confidence Inc
- Mariangeli Cuevas
- Heather Del Carmen
- Stacy Leigh Donaldson
- Dr. Sarah Humphreys PLLC
- Edward Kenan Enoch
- Alison Patricia Eschrich
- Bradley Matthew Farrow
- Fast Pace Medical Clinic PLLC
- Shelby Fathauer
All providers in Thompsons Station, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.