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

Stacey A Stroud, PA

Individual provider Physician Assistant · NPI 1912910142

Stacey A Stroud, PA is a Physician Assistant in Mount Juliet, Tennessee. Qualified in 1997, 29 years ago. Practices with Heritage Medical Associates PC, a 162-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
29
Licensed in
TN
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

325 Old Pleasant Grove Rd
Mount Juliet, TN 37122-4493
Phone: (629) 255-2075
Fax: (629) 255-4164
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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 PA0000000620 (TN)

Record details

NPI number1912910142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2006
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 1997 (29 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