Individual provider Active NPI

Liza Samuel

  • Medical Physician Assistant
  • Nashville, TN
National Provider Identifier
1356183446
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
6256 Issued in TN
Practice address
2412 Lebanon Pike
Nashville, TN 37214-2413
Phone
(615) 647-3578
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 6256 TN Primary
Physician Assistant 363A00000X 6256 TN

Addresses

Primary practice location

2412 Lebanon Pike
Nashville, TN 37214-2413

Mailing address

2705 Old Fort Pkwy Ste F
Murfreesboro, TN 37128-5154
Phone (615) 565-1584

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
I20250307000142 TN Practitioner - Physician Assistant 7113448051 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians
The Little Clinic of Tennessee LLCGroup PAC ID 4688762800, 132 clinicians

Practice addresses (Care Compare)

2412 Lebanon Pike
Nashville, TN 37214-2413
Phone (615) 647-8212

463 Sam Ridley Pkwy W
Smyrna, TN 37167-5626
Phone (615) 768-4258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6256TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Oct 22, 2025 Accepting new patients
Crossroads Urgent Care PLLC Physician Assistant CurrentSince Oct 22, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Physician Assistant CurrentSince Dec 15, 2025 Accepting new patients

Locations

710 Nashville Pike
Ste B
Gallatin, TN 37066
Phone (615) 502-0170

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

2412 Lebanon Pike
Nashville, TN 37214
Phone (615) 647-3578

463 W Sam Ridley Pkwy
Smyrna, TN 37167
Phone (615) 355-6620

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.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1356183446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 OLD FORT PKWY STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285154",
            "telephone_number": "615-565-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 LEBANON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372142413",
            "telephone_number": "615-647-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "LIZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "6256",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "6256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.