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

Lucas Tyler Pittman, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1619567831

Lucas Tyler Pittman, PHYSICIANASSISTANT is a Physician Assistant in Cookeville, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2020, 6 years ago. Practices with Cookeville Regional Medical Group Inc, a 50-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2021
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

340 N Cedar Ave
Cookeville, TN 38501-2421
Phone: (931) 783-5353
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 120 Pilot Mountain Rd, Lancing, TN 37770-2950 — (423) 539-6183

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4428 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4428 (TN)

Record details

NPI number1619567831
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2020 (6 years in practice)
Group practice Cookeville Regional Medical Group Inc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cookeville