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

Jeffrey D Kauppi, PA

Individual provider Medical Physician Assistant · NPI 1720081821

Jeffrey D Kauppi, PA is a Physician Assistant in Dickson, Tennessee. Qualified in 1996, 30 years ago. Practices with Advanced Diagnostic Imaging PC, a 529-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
30
Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

200 Creekside Dr
Dickson, TN 37055-2176
Phone: (615) 441-6140
Fax: (615) 441-6190
Show map & directions

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

Additional practice locations (2)

  • 2340 Fairview Blvd Ste 600d, Fairview, TN 37062-9457 — (615) 266-2177
  • 1800 Medical Center Pkwy Ste 460, Murfreesboro, TN 37129-3181 — (615) 239-2062

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X · Licence PA567 (TN)

Record details

NPI number1720081821
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESOctober 2, 2025
Certification dateOctober 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 specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Advanced Diagnostic Imaging Pc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dickson