JENNIFER GEORGE DITTES (PA-C) – Physician Assistant, NPI 1154493237

JENNIFER GEORGE DITTES (PA-C) is a healthcare provider. based in Westmoreland, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 701PA (TN). The NPI Number for JENNIFER GEORGE DITTES (PA-C) is 1154493237

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER GEORGE DITTES (PA-C)
NPI
1154493237
Phone
(615) 644-2000
Address
1124 NEW HIGHWAY 52 E
Enumeration Date
14 November 2006
Last Update Date
17 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6156442000
Graduation Year
1994 (32 years ago)
PAC ID
8820059090
Group Practice PAC ID
1658326194
Professional Enrollment ID
I20041021000053
Address ID
TN371865060WE1124XEXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for JENNIFER GEORGE DITTES (PA-C)

  • 1124 NEW HIGHWAY 52 E

    WESTMORELAND, TN 371865060

    Phone: (615) 644-2000

    Fax: (615) 644-2078

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041021000053IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37186)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658326194View full group profile
NameSpecialtyState
Physician AssistantTN
Nurse PractitionerKY
Nurse PractitionerTN
Nurse PractitionerTN
Mental Health CounselorKY
Nurse PractitionerTN
Mental Health CounselorTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

Can I use this page to confirm JENNIFER GEORGE DITTES (PA-C)'s NPI?
Yes. JENNIFER GEORGE DITTES (PA-C) is listed with NPI 1154493237 in the public NPI dataset.
Does CMS list JENNIFER GEORGE DITTES (PA-C) as active?
Yes — JENNIFER GEORGE DITTES (PA-C) is active in the NPI listing used on this page.
What is JENNIFER GEORGE DITTES (PA-C)'s primary classification?
Physician Assistant is the headline specialty for JENNIFER GEORGE DITTES (PA-C) here. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIFER GEORGE DITTES (PA-C)?
JENNIFER GEORGE DITTES (PA-C)'s geographic hint is Westmoreland, Tennessee in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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