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

Cherilyn Carrillo Cabanero, PA-C

Individual provider Physician Assistant · NPI 1114632908

Cherilyn Carrillo Cabanero, PA-C is a Physician Assistant in Cordova, Tennessee. Qualified in 2022, 4 years ago. Practices with Specialty Physician Group LLC, a 101-clinician group, works from 3 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

57 Germantown Ct Ste 100
Cordova, TN 38018-4274
Phone: (901) 435-8550
Fax: (901) 478-0781
Show map & directions

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

Additional practice locations (2)

  • 4240 Bethel Rd Ste 201, Olive Branch, MS 38654-8737 — (901) 763-0200
  • 3950 New Covington Pike Ste 220, Memphis, TN 38128-2595 — (901) 763-0200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5532 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114632908
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

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 Specialty Physician Group Llc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Cordova