Miranda Abraham, PA-C
Individual provider Active NPI Physician Assistant · Nashville, TN
NPI 1558043596 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1558043596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA6693 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Isaac Spine Joint and Pain Institute
Practice addresses (Care Compare)
3320 Perimeter Hill Dr
Nashville, TN 37211-4123
Phone (615) 866-9040
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302002692 | TN | Practitioner - Physician Assistant | 8325520133 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6693 | TN | MD | Physical Therapist |
| PA6693 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isaac Spine Joint & Pain Institute | Current |
Accepting new patients | |
| Isaac Spine, Joint & Pain Institute | Current |
Accepting new patients |
Locations
2001 Charlotte Ave
Ste 205
Nashville, TN 37203
Phone (615) 294-8453
3320 Perimeter Hill Dr
Nashville, TN 37211
Phone (615) 502-0952
2004 Hayes St
Ste 655
Nashville, TN 37203
Phone (615) 866-9040
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJIBCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA6693 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q109956 | Medicaid | TN |
Other providers in Nashville, TN
- Above and Beyond Residential Living, Inc
- Samantha Orbke Abplanalp
- Emnet Abraham
- Lovely - Abraham
- Marina Abraham
- Robert Abraham
- Madeline Abrahamsen
- Monroe J Abram
- Steven R Abram
- Thomas Abramo
All providers in Nashville, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.