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NPI Code Detail

MEDICARE: SAMANTHA NOEL CRAIGHEAD PA-C

MEDICARE: SAMANTHA NOEL CRAIGHEAD PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant3417TN

General Provider Information

NPI Number : 1023528262
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA NOEL CRAIGHEAD PA-C
Provider Business Mailing Address
First Line : 401 WINDSOR GREEN CT STE 101
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-2237
Country : US
Telephone Number : 615-859-8488
Fax Number : 615-859-8696
Provider Business Practice Location Address
First Line : 401 WINDSOR GREEN CT STE 101
Second Line :
City : GOODLETTSVILLE
State : TN
Zip : 37072-2237
Country : US
Telephone Number : 615-859-8488
Fax Number : 615-859-8696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2017
Last Update Date : 12/08/2025

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Directions to “ SAMANTHA NOEL CRAIGHEAD PA-C” Practice Location

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