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

MS. Lacy C. Kinney, PA-C

Individual provider Physician Assistant · NPI 1780611459

MS. Lacy C. Kinney, PA-C is a Physician Assistant in Dayton, Tennessee. Qualified in 2005, 21 years ago. Practices with Erlanger Health, a 503-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
21
Licensed in
TN
In the registry since
2006
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

149 Walnut Grove Church Rd
Dayton, TN 37321-7925
Phone: (423) 775-5512
Fax: (423) 775-0155
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1301 (TN)

Record details

NPI number1780611459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESApril 10, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Erlanger Health — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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