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

Mr. Russell Eric Dickenson, PA-C

Individual provider Physician Assistant · NPI 1497745814

Mr. Russell Eric Dickenson, PA-C is a Physician Assistant in Knoxville, Tennessee. Qualified in 1986, 40 years ago. Practices with Knoxville Hma Cardiology Ppm, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
40
Licensed in
TN
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Phone: (865) 392-3400
Fax: (865) 392-3449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 100 (TN)

Record details

NPI number1497745814
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESSeptember 14, 2020
Certification dateSeptember 14, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Knoxville Hma Cardiology Ppm, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Knoxville