Healthcare Provider Details

I. General information

NPI: 1366462087
Provider Name (Legal Business Name): ASHLEY C MESSICK-HITE C-PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY C MESSICK C-PA

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 LEDFORD MILL RD
TULLAHOMA TN
37388-2278
US

IV. Provider business mailing address

PO BOX 802
TULLAHOMA TN
37388-0802
US

V. Phone/Fax

Practice location:
  • Phone: 931-800-6400
  • Fax: 931-800-6401
Mailing address:
  • Phone: 931-800-6400
  • Fax: 931-800-6401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA0000000929
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA0000000929
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: