Individual provider Active NPI

Miranda Abraham, PA-C

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1558043596
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6693 Issued in TN
Practice address
2004 Hayes St Ste 655
Nashville, TN 37203-2656
Phone
(615) 866-9040
Fax
(615) 750-5756
NPI assigned
Aug 1, 2023
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 PA6693 TN Primary

Addresses

Primary practice location

2004 Hayes St Ste 655
Nashville, TN 37203-2656

Mailing address

3320 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 866-9040

Other practice location 1

3320 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 866-9040 ext. 407

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
I20260302002692 TN Practitioner - Physician Assistant 8325520133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3320 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 866-9040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA6693TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Isaac Spine Joint & Pain Institute CurrentSince Jan 30, 2026 Accepting new patients
Isaac Spine, Joint & Pain Institute CurrentSince Jan 30, 2026 Accepting new patients

Locations

2001 Charlotte Ave
Ste 205
Nashville, TN 37203
Phone (615) 294-8453

2004 Hayes St
Ste 655
Nashville, TN 37203
Phone (615) 866-9040

3320 Perimeter Hill Dr
Nashville, TN 37211
Phone (615) 502-0952

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJIBCA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1558043596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 PERIMETER HILL DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114123",
            "telephone_number": "615-866-9040",
            "fax_number": "615-750-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 HAYES ST STE 655",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032656",
            "telephone_number": "615-866-9040",
            "fax_number": "615-750-5756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Perimeter Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372114123",
            "country_code": "US",
            "telephone_number": "615-866-9040 x407",
            "fax_number": "615-750-5756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MIRANDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA6693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.