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

Ethan Alexander Hyde

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1831658632

Ethan Alexander Hyde is a Podiatry in Dickson, Tennessee. Graduated from Temple University School of Medicine in 2019, 7 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Trained at
Temple University School of Medicine
Licensed in
TN
In the registry since
2019

Practice location Address checks out

127 Crestview Park Dr Ste 207
Dickson, TN 37055-2856
Phone: (158) 140-8856
Fax: (615) 814-0056
Show map & directions

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

Additional practice locations (1)

  • 1909 Mallory Ln Ste 201, Franklin, TN 37067-2842 — (615) 814-0885

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 926 (TN)

Record details

NPI number1831658632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025
Mailing address3024 Business Park Cir, Goodlettsville, TN 37072-3132

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dickson