Individual provider Active NPI

Hannah Lizbeth Sullivan

  • Physician Assistant
  • Nashville, TN
National Provider Identifier
1679112395
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4021 Issued in TN
Practice address
410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone
(615) 329-7887
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 4021 TN Primary

Addresses

Primary practice location

410 42ND Ave N Ste 400
Nashville, TN 37209-3658

Mailing address

410 42ND Ave N Ste 400
Nashville, TN 37209-3658
Phone (615) 329-7887

Other identifiers 1

IdentifierTypeStateIssuer
Q059557MedicaidTN

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
I20200819004068 TN Practitioner - Physician Assistant 2668898750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Oncology PLLCGroup PAC ID 4688586134, 355 clinicians

Practice addresses (Care Compare)

1750 Cedar LN
Suite 200
Tullahoma, TN 37388-4761
Phone (615) 333-2481

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.69 of 100Reported as group
Quality
70.45
Promoting interoperability
100
Improvement activities
40
Cost
73.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology CurrentSince Dec 1, 2024 Accepting new patients
Tennessee Oncology PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

410 42nd Ave N
Ste 400
Nashville, TN 37209
Phone (615) 292-5722

4535 Harding Pike
Ste 304
Nashville, TN 37205
Phone (615) 269-9007

410 42nd Ave N
Ste 301
Nashville, TN 37209
Phone (615) 620-7800

410 42nd Ave N
Ste 300
Nashville, TN 37209
Phone (615) 321-6161

1750 Cedar Ln
Ste 200
Tullahoma, TN 37388
Phone (615) 333-2481

Interoperability endpoints

  • Direct secure messaging: hannah.sullivan@tsclinic.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1679112395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 42ND AVE N STE 400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093658",
            "telephone_number": "615-329-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "HANNAH",
        "middle_name": "LIZBETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059557",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.