Individual provider Active NPI

Samantha Noel Craighead, PA-C

  • Physician Assistant
  • Goodlettsville, TN
National Provider Identifier
1023528262
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3417 Issued in TN
Practice address
401 Windsor Green CT Ste 101
Goodlettsville, TN 37072-2237
Phone
(615) 859-8488
Fax
(615) 859-8696
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3417 TN Primary

Addresses

Primary practice location

401 Windsor Green CT Ste 101
Goodlettsville, TN 37072-2237

Mailing address

401 Windsor Green CT Ste 101
Goodlettsville, TN 37072-2237
Phone (615) 859-8488

Other names 1

  • Samantha Noel Lister Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502002187 TN Practitioner - Physician Assistant 3072900562 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skyline Medical Group LLCGroup PAC ID 6709885189, 43 clinicians

Practice addresses (Care Compare)

401 Windsor Green CT
Suite 101
Goodlettsville, TN 37072-2237
Phone (615) 589-8488

Hospital & facility affiliations

  • Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3417TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince May 9, 2022 Accepting new patients
Skyline Medical Group LLC Physician Assistant CurrentSince Dec 1, 2025 Accepting new patients
Saint Thomas Rheumatology Consultants PLLC CurrentSince Jun 29, 2025 Accepting new patients
Advanced Diagnostic Imaging, PC Physician Assistant CurrentSince May 9, 2022 Accepting new patients

Locations

647 Dunlop Ln
Ste 200
Clarksville, TN 37040
Phone (931) 245-8100

421 Henslee Dr
Dickson, TN 37055
Phone (615) 342-6840

401 Windsor Green Ct
Ste 101
Goodlettsville, TN 37072
Phone (615) 589-8488

4230 Harding Pike
Ste 1005
Nashville, TN 37205

3443 Dickerson Pike
Ste G30
Nashville, TN 37207
Phone (615) 234-6390

4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191

3441 Dickerson Pike
Nashville, TN 37207
Phone (615) 234-6426

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Interoperability endpoints

  • Direct secure messaging: samantha.craigheed.p99@direct.aara1.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1023528262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WINDSOR GREEN CT STE 101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722237",
            "telephone_number": "615-859-8488",
            "fax_number": "615-859-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WINDSOR GREEN CT STE 101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722237",
            "telephone_number": "615-859-8488",
            "fax_number": "615-859-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGHEAD",
        "first_name": "SAMANTHA",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "LISTER",
            "middle_name": "NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.