Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa C Gronberg, PA-C

Individual provider Physician Assistant · NPI 1215255591

Lisa C Gronberg, PA-C is a Physician Assistant in Mount Juliet, Tennessee. Qualified in 2009, 17 years ago. Practices with Heritage Medical Associates PC, a 162-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
17
Licensed in
TN
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

325 Old Pleasant Grove Rd
Mount Juliet, TN 37122-4493
Phone: (629) 255-2134
Fax: (629) 255-4156
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1793 (TN)

Record details

NPI number1215255591
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 11, 2010
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Heritage Medical Associates Pc — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mount Juliet