Stephanie Lee Byard, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1110 Market St Ste 502
Chattanooga, TN 37402-3310

Phone

(423) 602-9530

NPI assigned

Jun 6, 2019

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Lee Wood Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.byard@488678167609348.direct.elationemr.com

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.

• App of Kentucky Ed, PLLC

  • Emergency Medicine Physician
  • Princeton, KY
  • NPI 1497157341
  NPD

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1902465669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 ROSEBURY LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370437964",
            "telephone_number": "931-237-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 MARKET ST STE 502",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374023310",
            "telephone_number": "423-602-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYARD",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-06",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WOOD",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Mahrt Butts, CRNA
• Jeffrey Butts, O.D.
• BW Pediatric Dentistry PLLC (Northshore Pediatric Dentistry)
• Bwell4Ever, LLC
• By Our Hands PLLC
• Jeonga Byeon
• Brynn Atchley Byers, CRNP-AC
• Audrey Grace Byrd, MS, CCC-SLP
• Hayden Faulkner Byrd, MD
• Kristina Marie Byrd, M.S

• Medical Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.