Active NPI
Andrea Pilar Grady, PA-C
- Physician Assistant
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5737
- Practice address
- 5201 Charlotte Pike
Nashville, TN 37209-3320 - Phone
- (615) 222-1900
- Fax
- (615) 222-1917
- NPI assigned
- Nov 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5737 | TN | Primary |
Addresses
Primary practice location
5201 Charlotte Pike
Nashville, TN 37209-3320
Mailing address
5201 Charlotte Pike
Nashville, TN 37209-3320
Phone (615) 222-1900
Other practice location 1
5005 N. Piedras Street; Attn
Wbamc
El Paso, TX 79920-5001
Phone (505) 259-5117
Other practice location 2
Blanchfield Army Community Hospital
650 Joel Dr
Fort Campbell, KY 42223
Phone (270) 798-8400
Other names 1
- Andrea Pilar Stam
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Andrea.p.stam.mil@mail.mil | Direct | US Army |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400
5201 Charlotte Pike
Nashville, TN 37209-3320
Phone (615) 222-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Thomas Medical Partners | Current | Accepting new patients | |
| Saint Thomas Medical Partners | Current | Accepting new patients |
Locations
300 20th Ave N
Fl 9
Nashville, TN 37203
5201 Charlotte Pike
Nashville, TN 37209
Phone (615) 222-1900
300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088
Interoperability endpoints
- https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
- andrea.p.stam.mil@mail.mil
- andrea.grady.1@7654.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Ascension Medical Group Saint Thomas
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
dba Ascension Medical Group Saint Thomas
- Mobile Mammography Clinic/Center
- Nashville, TN
- NPI 1881981033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727740800000",
"number": "1134764558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 CHARLOTTE PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093320",
"telephone_number": "615-222-1900",
"fax_number": "615-222-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 CHARLOTTE PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093320",
"telephone_number": "615-222-1900",
"fax_number": "615-222-1917"
}
],
"practiceLocations": [
{
"address_1": "5005 N. PIEDRAS STREET; ATTN",
"address_2": "WBAMC",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799205001",
"country_code": "US",
"telephone_number": "505-259-5117",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Blanchfield Army Community Hospital",
"address_2": "650 Joel Dr",
"address_purpose": "LOCATION",
"city": "Fort Campbell",
"state": "KY",
"postal_code": "42223",
"country_code": "US",
"telephone_number": "270-798-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADY",
"first_name": "ANDREA",
"middle_name": "PILAR",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-08",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "5737",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Andrea.p.stam.mil@mail.mil",
"affiliation": "Y",
"endpointDescription": "Military Email",
"affiliationName": "US Army",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Military Email",
"address_1": "5005 N. PIEDRAS STREET; ATTN",
"address_2": "WBAMC",
"city": "El Paso",
"state": "TX",
"country_code": "US",
"postal_code": "799205001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "STAM",
"middle_name": "PILAR",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.