Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Michael Chalstrom, PA-C

Individual provider Urgent Care Clinic/Center · NPI 1134833445

Benjamin Michael Chalstrom, PA-C is a Physician Assistant in Harriman, Tennessee. Qualified in 2022, 4 years ago. Practices with Dx MSO PLLC, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Licensed in
TN
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1855 Tanner Way Ste 220
Harriman, TN 37748-8332
Phone: (865) 882-2442
Fax: (865) 374-2123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5150 N Broadway St, Knoxville, TN 37918-2342 — (865) 549-5111

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X
Physician Assistant Taxonomy 363A00000X · Licence 5396 (TN)

Record details

NPI number1134833445
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address1855 Tanner Way Ste 220, Harriman, TN 37748-8332

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dx Mso Pllc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Harriman