Individual provider Active NPI

Andrea Pilar Grady, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1134764558
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5737 Issued in TN
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

Updated by the provider on Oct 1, 2024

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 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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820000653 TN Practitioner - Physician Assistant 6709324916 Reassigns benefits to 1 organization

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
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

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

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners CurrentSince Sep 1, 2024 Accepting new patients
Saint Thomas Medical Partners CurrentSince Sep 1, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/7654/brand/1/csg/1/fhir/r4
  • Direct secure messaging: andrea.p.stam.mil@mail.mil
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.