MRS. LACIE DILLON PA-C
NPI 1083033195
Physician Assistant - Medical in Cookeville, TN

Active since April 16, 2014PECOS Enrolled
103 W MAIN ST STE C, COOKEVILLE, TN 38506(931) 218-6463 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Lacie Dillon Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LACIE DILLON PA-C (NPI 1083033195) is an individual medical provider in Cookeville, Tennessee, licensed in Tennessee (2514) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083033195
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LACIE DILLONCredential: PA-C
Location Address103 W MAIN ST STE CCookeville, TN 38506-2310
Mailing Address2691 Lacie DrCookeville, TN 38506-5078 · (931) 265-4248
Sole ProprietorNo
Enumeration DateApril 16, 2014
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1083033195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 2514
103 W MAIN ST STE C, Cookeville, TN 38506

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Lacie Dillon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacie Dillon's NPI number?

The NPI number for Lacie Dillon is 1083033195. It was assigned to this individual provider in the NPPES registry on April 16, 2014.

Where is Lacie Dillon located?

Lacie Dillon practices at 103 W Main St Ste C, Cookeville, TN 38506. The listed phone number is (931) 218-6463.

What is Lacie Dillon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Lacie Dillon enrolled in Medicare?

Yes. Lacie Dillon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lacie Dillon was last updated on May 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.