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DR. ALYSSA DICKERSON DO
NPI 1710618772
Family Medicine in Columbia, TN

Active since June 21, 2022PECOS Enrolled
854 W JAMES M CAMPBELL BLVD STE 403, COLUMBIA, TN 38401(931) 380-0075(931) 388-7502 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alyssa Dickerson Do NPPES

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

DR. ALYSSA DICKERSON DO (NPI 1710618772) is an individual family medicine provider in Columbia, Tennessee, licensed in Tennessee (6275) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Edgewood.

NPPES Registry Identity

NPI1710618772
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ALYSSA DICKERSONCredential: DO
Location Address854 W JAMES M CAMPBELL BLVD STE 403Columbia, TN 38401-4659
Mailing Address854 W James M Campbell Blvd Ste 303Columbia, TN 38401-4672 · (931) 380-0075 · Fax (931) 388-7502
Phone(931) 380-0075
Fax(931) 388-7502
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1710618772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 6275
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
854 W JAMES M CAMPBELL BLVD STE 403, Columbia, TN 38401
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Secondary Practice Location 1

Location 1413 S Loop RdEdgewood, KY 41017-5446 · Phone (859) 301-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alyssa Dickerson Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW KARL NIELSEN M.D.
Internal Medicine
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075
KELSEY KING-HOOK MD
Family Medicine
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075
MAURY REGIONAL HOSPITAL MARSHALL MEDICAL CENTER
Clinic/Center (Rural Health)
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075
DR. JOHN R. ROBERTS D.O.
Family Medicine
854 W JAMES M CAMPBELL BLVD STE 403
COLUMBIA, TN 38401
Maury County (931) 380-0075

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 Alyssa Dickerson's NPI number?

The NPI number for Alyssa Dickerson is 1710618772. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Alyssa Dickerson located?

Alyssa Dickerson practices at 854 W James M Campbell Blvd Ste 403, Columbia, TN 38401. The listed phone number is (931) 380-0075.

What is Alyssa Dickerson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Alyssa Dickerson enrolled in Medicare?

Yes. Alyssa Dickerson is registered in the Medicare PECOS enrollment system.

What insurance does Alyssa Dickerson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Alyssa Dickerson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alyssa Dickerson was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.