Individual provider Active NPI

Haley Lawson

  • Physician Assistant
  • Jefferson City, TN
National Provider Identifier
1013377092
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2977 Issued in TN
Practice address
120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204
Phone
(865) 647-1876
Fax
(865) 471-2246
NPI assigned
Mar 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7907 GA
Physician Assistant 363A00000X PA2977 TN Primary

Addresses

Primary practice location

120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204

Mailing address

120 Hospital Dr Ste 100
Jefferson City, TN 37760-5204
Phone (865) 647-1876

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address haley.lawson.1@4694.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521002548 TN Practitioner - Physician Assistant 6608168729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Physician Management, LLCGroup PAC ID 6103097316, 118 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Knoxville, TN 37934-1981

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011

110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

7557 A Dannaher Dr
Suite G15
Powell, TN 37849-3558
Phone (865) 859-7377

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Lafollette Medical Center Hospital, La Follette, TN, CCN 440033
  • Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7907GAMDPhysician Assistant
PA2977TNMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: haley.lawson.1@4694.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1013377092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 100",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605204",
            "telephone_number": "865-647-1876",
            "fax_number": "865-471-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 100",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605204",
            "telephone_number": "865-647-1876",
            "fax_number": "865-471-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON",
        "first_name": "HALEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7907",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "PA2977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "haley.lawson.1@4694.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "120 Hospital Dr Ste 100",
            "city": "Jefferson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377605204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.