Individual provider · Type 1 NPI

Alex Lee Stidham, PA-C

Physician Assistant · Speedwell, TN

NPI number 1023998655 Active

Practice location

619 Blue Springs Rd
Speedwell, TN 37870-1847

Other practice locations

  • 120 Tanner Pl, Clinton, TN 37716-6684 · (865) 855-3500

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6765 (TN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1023998655

Alex Lee Stidham, PA-C's National Provider Identifier is 1023998655, issued on Sep 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Speedwell, TN. The record was last updated on Feb 2, 2026.