MEDICARE: MS. RACHEL CHACKO TIEMANN MPAS, PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	5335	TN
2	207N00000X	Dermatology Physician	5335	TN
3	363AM0700X	Medical Physician Assistant	5335	TN

General Provider Information

NPI Number	:	1417376005
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RACHEL CHACKO TIEMANN MPAS, PA-C

Provider Business Mailing Address
First Line	:	1195 OLD HICKORY BLVD STE 200
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4239
Country	:	US
Telephone Number	:	615-835-3220
Fax Number	:	615-835-3235

Provider Business Practice Location Address
First Line	:	155 COVEY DR STE 200
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6008
Country	:	US
Telephone Number	:	615-835-3220
Fax Number	:	615-835-3235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2014
Last Update Date	:	01/15/2026

Similar Medicare Providers

1285030924 — MS. MARGARET PARK PA-C
Practice Location Address:

155 COVEY DR STE 200
FRANKLIN, TN
37067-6008

Practice Phone: 615-835-3220
Practice Fax: 615-835-3235

1598750481 — ISRAEL D. GARCIA MD
Practice Location Address:

310 N STATE OF FRANKLIN RD , SUITE 400
JOHNSON CITY, TN
37604-6008

Practice Phone: 423-979-6000
Practice Fax: 423-979-6011

1407841398 — SHOBHA R. HIREMAGALUR MD
Practice Location Address:

310 N STATE OF FRANKLIN RD , SUITE 400
JOHNSON CITY, TN
37604-6008

Practice Phone: 423-979-6000
Practice Fax: 423-979-6011

1639165277 — AHMED A. KHAN MD
Practice Location Address:

310 N STATE OF FRANKLIN RD , SUITE 400
JOHNSON CITY, TN
37604-6008

Practice Phone: 423-979-6000
Practice Fax: 423-979-6011

1295724284 — DR. JAMES ROBERT EVANS M.D.
Practice Location Address:

310 N STATE OF FRANKLIN RD , SUITE 101B
JOHNSON CITY, TN
37604-6008

Practice Phone: 423-929-7393
Practice Fax: 423-929-0872

1629030267 — ANTHONY J PALAZZO MD
Practice Location Address:

310 N STATE OF FRANKLIN RD , SUITE 101
JOHNSON CITY, TN
37604-6008

Practice Phone: 423-929-7393
Practice Fax: 423-929-0872

Directions to “ MS. RACHEL CHACKO TIEMANN MPAS, PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.