Individual provider Active NPI

Miranda Annette Craighead, PA

  • Physician Assistant
  • Murfreesboro, TN
National Provider Identifier
1639748643
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5235 Issued in TN
Practice address
1800 Medical Center Pkwy Ste 200
Murfreesboro, TN 37129-2566
Phone
(615) 896-6800
Fax
(615) 895-8890
NPI assigned
Jun 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 5235 TN Primary

Addresses

Primary practice location

1800 Medical Center Pkwy Ste 200
Murfreesboro, TN 37129-2566

Mailing address

PO Box 306556
Nashville, TN 37230-6556
Phone (615) 329-2294

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
I20230130000108 TN Practitioner - Physician Assistant 3173994282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Orthopaedic Alliance PA 358 clinicians

Practice addresses (Care Compare)

1035 S Hartmann Dr
Lebanon, TN 37090-4064
Phone (615) 443-7374

1800 Medical Ctr Pkwy
Suite 100
Murfreesboro, TN 37129-2568
Phone (615) 896-6800

1800 Medical Ctr Pkwy
Suite 200
Murfreesboro, TN 37129-2566
Phone (615) 896-6800

5109 Veterans Pkwy
Murfreesboro, TN 37128-4375
Phone (615) 896-6800

8 City Blvd
Suite 100
Nashville, TN 37209-2558
Phone (615) 329-6600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5235TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Orthopaedic Alliance PA CurrentSince Feb 12, 2024 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 29, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Dec 29, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Feb 12, 2024 Accepting new patients
Trevecca Nazarene University PastSince Jun 1, 2021 Accepting new patients
Tennessee Orthopaedic Alliance PA Past Accepting new patients

Locations

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1800 Medical Center Pkwy
Ste 200
Murfreesboro, TN 37129
Phone (615) 278-1634

5109 Veterans Pkwy
Murfreesboro, TN 37128
Phone (615) 278-1614

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

Interoperability endpoints

  • Direct secure messaging: miranda.craighead.p1@direct.toa.nextgenshare.com

Organizations & group practices 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1639748643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306556",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306556",
            "telephone_number": "615-329-2294",
            "fax_number": "615-695-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY STE 200",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292566",
            "telephone_number": "615-896-6800",
            "fax_number": "615-895-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGHEAD",
        "first_name": "MIRANDA",
        "middle_name": "ANNETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "5235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.