Active NPI
Avery Lauren Nowak, PA-C
- Physician Assistant
- Nashville, TN
National Provider Identifier
1306754908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7432
- Practice address
- 1211 Medical Center Dr
Nashville, TN 37232-0004 - Phone
- (615) 322-5000
- NPI assigned
- Sep 1, 2026
- Sex
- Unspecified or another gender identity
- 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 | 7432 | TN | Primary |
Addresses
Primary practice location
1211 Medical Center Dr
Nashville, TN 37232-0004
Mailing address
311 Ingham Rd
New Smyrna Beach, FL 32168-8525
Phone (954) 980-5715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1306754908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 INGHAM RD",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321688525",
"telephone_number": "954-980-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 MEDICAL CENTER DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372320004",
"telephone_number": "615-322-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "AVERY",
"middle_name": "LAUREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "7432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.