Healthcare Provider Details

I. General information

NPI: 1598622870
Provider Name (Legal Business Name): SOPHIA GRACE HADY PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOPHIA G BONE

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STONECREST BLVD STE 410
SMYRNA TN
37167-6802
US

IV. Provider business mailing address

1 UNIVERSITY PARK DR
NASHVILLE TN
37204-3956
US

V. Phone/Fax

Practice location:
  • Phone: 615-220-6144
  • Fax: 615-220-3663
Mailing address:
  • Phone: 615-966-7150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: