Mrs Bryn Mayberry Southards, PA-C in Goodlettsville, TN

Mrs Bryn Mayberry Southards, PA-C is a medicare enrolled "Physician Assistant" in Goodlettsville, Tennessee. Her current practice location is 490 Long Hollow Pike, Goodlettsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (555) 555-5555.

Mrs Bryn Mayberry Southards is licensed to practice in Tennessee (license number PA1436) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255421954.

Contact Information

	Mrs Bryn Mayberry Southards, PA-C
	490 Long Hollow Pike, Goodlettsville, TN 37072-3480
	(555) 555-5555
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Bryn Mayberry Southards
Gender	Female
Speciality	Physician Assistant
Location	490 Long Hollow Pike, Goodlettsville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255421954
Provider Enumeration Date: 10/13/2006
Last Update Date: 10/28/2025

Medicare PECOS Information:

PECOS PAC ID: 6406858224
Enrollment ID: I20070207000676

Medical Identifiers

Medical identifiers for Mrs Bryn Mayberry Southards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255421954	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA1436 (Tennessee)	Primary
363AM0700X	Physician Assistant - Medical	PA1436 (Tennessee)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Bryn Mayberry Southards is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Bryn Mayberry Southards, PA-C 5880 Ashland City Hwy, Nashville, TN 37218-4222 Ph: (615) 525-6977	Mrs Bryn Mayberry Southards, PA-C 490 Long Hollow Pike, Goodlettsville, TN 37072-3480 Ph: (555) 555-5555

Reviews and Comments

Physician Assistant Nurses in Goodlettsville, TN

Samantha Noel Craighead, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Windsor Green Ct Ste 101, Goodlettsville, TN 37072 Phone: 615-859-8488 Fax: 615-859-8696
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Iwaz M Barwari, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Rivergate Pkwy, Goodlettsville, TN 37072 Phone: 615-859-3937 Fax: 615-859-3919
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Mrs Bryn Mayberry Southards, PA-C - Medicare Physician Assistant in Goodlettsville, TN