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

Jerry D Dickess

Individual provider Physician Assistant · NPI 1033697990

Jerry D Dickess is a Physician Assistant in Ashland, Kentucky. Qualified in 2018, 8 years ago. Practices with Hospital Medicine Services of Tennessee PC, a 158-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
8
Licensed in
KY, OH
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

613 23rd St Ste G10
Ashland, KY 41101-2886
Phone: (064) 085-8646
Fax: (606) 408-6499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2001 Scioto Trl Ste 200, Portsmouth, OH 45662-2845 — (740) 353-8100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2449 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 50.005673 (OH)

Record details

NPI number1033697990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 2, 2018
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022
Mailing addressPo Box 2379, Ashland, KY 41105-2379

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Hospital Medicine Services Of Tennessee Pc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Ashland