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

Caroline Caitlyn Crocker, PA-C

Individual provider Medical Physician Assistant · NPI 1174394688

Caroline Caitlyn Crocker, PA-C is a Physician Assistant in Cordova, Tennessee. Qualified in 2023, 3 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2024
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

57 Germantown Ct Ste 100
Cordova, TN 38018-4274
Phone: (901) 763-0200
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5863 (TN)

Record details

NPI number1174394688
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 12, 2024
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Cordova