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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. BRYN MAYBERRY SOUTHARDS, PA-C

Active

MRS. BRYN MAYBERRY SOUTHARDS, PA-C is a Physician Assistant healthcare provider located in GOODLETTSVILLE, Tennessee. NPI 1255421954 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GOODLETTSVILLE, TN

Registration Details

NPI Number
1255421954
Provider Type
Individual
Gender
Female
NPI Issued
Oct 13, 2006 (19.80346474508 yrs)
Last Updated
Oct 28, 2025
Licenses
PA1436 (TN)
PA1436 (TN)

Practice Information

Address
490 LONG HOLLOW PIKE
GOODLETTSVILLE, TN, 370723480
Browse TN providers · Browse ZIP 37072
Phone
5555555555
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant

Other Physician Assistant Providers in GOODLETTSVILLE, TN

Name Credential NPI
IWAZ M BARWARI PA-C 1184875635
BRANDON ROBERT MCNICKLE PA-C 1053789719
ASHLY ANN ROBY PARKER PA-C 1942719216
SAMANTHA NOEL CRAIGHEAD PA-C 1023528262
MRS. ALEXIS KEEN PA-C 1457834590
KRISTEN GRACE KASER 1255908091
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.