Individual provider Active NPI

Elizabeth Ambros Suarez, PA-C

  • Physician Assistant
  • Memphis, TN
National Provider Identifier
1154912251
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4445 Issued in TN
Practice address
6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665
Phone
(901) 683-0024
Fax
(901) 683-0086
NPI assigned
Feb 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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 4445 TN Primary

Addresses

Primary practice location

6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665

Mailing address

6625 Lenox Park Dr Ste 202
Memphis, TN 38115-8200
Phone (901) 683-0024

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
I20210429000857 TN Practitioner - Physician Assistant 2769891985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Darsalud Community Center IncGroup PAC ID 1759706567, 11 clinicians

Practice addresses (Care Compare)

6063 Mount Moriah Rd Ext
Suite 4
Memphis, TN 38115-2665
Phone (901) 531-8800

6625 Lenox Park Dr
Memphis, TN 38115-4397
Phone (901) 683-0024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4445TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Darsalud Community Center Inc CurrentSince Jun 16, 2024 Accepting new patients

Locations

6625 Lenox Park Dr
Ste 101
Memphis, TN 38115
Phone (901) 683-0024

6625 Lenox Park Dr
Ste 202
Memphis, TN 38115

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": "1612137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1154912251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LENOX PARK DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381158200",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 MOUNT MORIAH ROAD EXT STE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152665",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "ELIZABETH",
        "middle_name": "AMBROS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-01",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.