IndividualActive
Alex Stidham, PA-C
NPI 1023998655 · Physician Assistant · Speedwell, TN
Provider details
- NPI number
- 1023998655
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6765 (TN)
Mailing address
619 Blue Springs Rd
Speedwell, TN 37870-1847
Registry dates
- Enumerated
- 2025-09-04
- Last updated
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.