Organization Active NPI

Heritage Medical Associates PC

  • Clinical Medical Laboratory
  • Nashville, TN
National Provider Identifier
1720042021
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
3305 Issued in TN
Legal business name
HERITAGE MEDICAL ASSOCIATES PC
Practice address
222 22ND Ave N
Nashville, TN 37203-1852
Phone
(629) 255-3486
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Crystie R Stauss
Title
Physician Services Manager
Phone
(629) 255-2620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 3305 TN Primary

Addresses

Primary practice location

222 22ND Ave N
Nashville, TN 37203-1852

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071112000641 TN Part B Supplier - Independent Clinical Laboratory 4688651037 Practice locations: Nashville, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D0308253Heritage Medical Associates, PC222 22ND Avenue North, Suite 100, Nashville, TN 37203ComplianceDec 19, 2026
44D2125838Heritage Medical Associates222 22ND Avenue North 3Rd Floor Pod 2, Nashville, TN 37203Certificate of waiverFeb 13, 2027
44D2262532Heritage Medical Associates, PC222 22ND Ave N, Nashville, TN 37203Provider-performed microscopyJun 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Heritage Medical Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1622 Westgate Cir
Brentwood, TN 37027
Phone (629) 255-2609

2339 Hillsboro Rd
Franklin, TN 37069
Phone (615) 791-9300

1909 Mallory Ln
Ste 108
Franklin, TN 37067
Phone (615) 771-7220

1909 Mallory Ln
Ste 303
Franklin, TN 37067
Phone (615) 684-4770

1909 Mallory Ln
Ste 202
Franklin, TN 37067
Phone (629) 255-2076

5653 Frist Blvd
Ste 630
Hermitage, TN 37076
Phone (615) 391-3971

715 Castle Heights Ct
#B
Lebanon, TN 37087
Phone (615) 443-0800

2010 Church St
Ste 550
Nashville, TN 37203
Phone (629) 255-2234

2325 Crestmoor Rd
Ste 202
Nashville, TN 37215
Phone (629) 255-2208

2325 Crestmoor Rd
Nashville, TN 37215
Phone (615) 324-2177

222 22nd Ave N
#100
Nashville, TN 37203
Phone 61528422222202

7640 Highway 70 S
Ste 110
Nashville, TN 37221
Phone (629) 255-2051

4230 Harding Pike
Ste 605
Nashville, TN 37205
Phone (629) 255-2115

4230 Harding Pike
Ste 609
Nashville, TN 37205
Phone (629) 255-2115

2325 Crestmoor Rd
Ste 204
Nashville, TN 37215
Phone (629) 255-2211

3914 Hillsboro Cir
Nashville, TN 37215
Phone (615) 269-4089

2010 Church St
Ste 409
Nashville, TN 37203
Phone (615) 320-9222

2325 Crestmoor Rd
Ste 201
Nashville, TN 37215
Phone (629) 255-2204

2325 Crestmoor Rd
Ste 104
Nashville, TN 37215
Phone (629) 255-2130

4230 Harding Pike
Ste 500
Nashville, TN 37205
Phone (629) 255-2047

2325 Crestmoor Rd
Ste 101
Nashville, TN 37215
Phone (629) 255-2216

Interoperability endpoints

  • Direct secure messaging: staceystroud@hma.allscriptsdirect.net
  • Direct secure messaging: lyndamurff@hma.allscriptsdirect.net
  • Direct secure messaging: heidirand@hma.allscriptsdirect.net
  • Direct secure messaging: derickjenkins@hma.allscriptsdirect.net
  • Direct secure messaging: robertmallard@hma.allscriptsdirect.net
  • Direct secure messaging: robinseverance@hma.allscriptsdirect.net
  • Direct secure messaging: taylorlahasky@hma.allscriptsdirect.net
  • Direct secure messaging: candacesanders@hma.allscriptsdirect.net
  • Direct secure messaging: nicolebaggott@hma.allscriptsdirect.net
  • Direct secure messaging: jeffreyanderson@hma.allscriptsdirect.net
  • Direct secure messaging: sethbanks@hma.allscriptsdirect.net
  • Direct secure messaging: paigesmith@hma.allscriptsdirect.net
  • Direct secure messaging: chetanmukundan@hma.allscriptsdirect.net
  • Direct secure messaging: samuelorr@hma.allscriptsdirect.net
  • Direct secure messaging: jeromeburt@hma.allscriptsdirect.net
  • Direct secure messaging: johncasilli@hma.allscriptsdirect.net
  • Direct secure messaging: lisaelder@hma.allscriptsdirect.net
  • Direct secure messaging: jenniferker@hma.allscriptsdirect.net
  • Direct secure messaging: jamesmcginley@hma.allscriptsdirect.net
  • Direct secure messaging: stacybrown@hma.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 207

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 207

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1720042021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "STAUSS",
        "authorized_official_first_name": "CRYSTIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN SERVICES MANAGER",
        "authorized_official_telephone_number": "629-255-2620"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TN",
            "license": "3305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.