Active NPI
Lauren Taylor Souza, PA-C, DMS, MSW
- Physician Assistant
- Hixson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2651
- Practice address
- 1025 Executive Dr Ste 100
Hixson, TN 37343-7917 - Phone
- (423) 870-3700
- NPI assigned
- Nov 15, 2013
- Last updated
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2651 | ME | Primary |
| Mental Health Counselor | 101YM0800X | NU |
Addresses
Primary practice location
1025 Executive Dr Ste 100
Hixson, TN 37343-7917
Mailing address
1025 Executive Dr Ste 100
Hixson, TN 37343-7917
Phone (423) 870-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Executive Dr
Suite 100
Hixson, TN 37343-7917
Phone (423) 870-2030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2651 | ME | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Physician Assistant | Current | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
Interoperability endpoints
- lsouza709011@direct.mmc.mainehealth.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1477256303
-
dba MaineHealth Pharmacy Brighton Ave
- Community/Retail Pharmacy
- Portland, ME
- NPI 1013868181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1609206473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 EXECUTIVE DR STE 100",
"city": "HIXSON",
"state": "TN",
"postal_code": "373437917",
"telephone_number": "423-870-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 EXECUTIVE DR STE 100",
"city": "HIXSON",
"state": "TN",
"postal_code": "373437917",
"telephone_number": "423-870-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "LAUREN",
"middle_name": "TAYLOR",
"credential": "PA-C, DMS, MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-15",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA2651",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hixson, TN
- Southeast Senior Services LLC.
- Southeast Vision Rehabilitation, PLLC
- Southeastern Dental Associates of Hixson
- Southeastern Retina Associates, P.C.
- Southern Eyecare Associates Inc
- Amanda Yvette Sovago-Royal, LMT
- Specialized Oxygen Services, LLC
- Owen F Speer, DO
- Neil Howard Spitalny, M.D.
- Rebecca Spivey, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.