Individual provider Active NPI

Daniel M Hagan, DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, NC
National Provider Identifier
1013913276
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
206 Issued in NC
Practice address
237 White St Ste 2
Jacksonville, NC 28546-6351
Phone
(910) 577-4977
Fax
(910) 577-4980
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 206 NC
Foot & Ankle Surgery Podiatrist 213ES0103X 206 NC Primary

Addresses

Primary practice location

237 White St Ste 2
Jacksonville, NC 28546-6351

Mailing address

1404 Clifton Rd
Jacksonville, NC 28540-8202
Phone (910) 382-7424

Other identifiers 1

IdentifierTypeStateIssuer
8908068MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dhagan@hagan.sammyehrdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000697 NC Practitioner - Podiatry 6204978950 Reassigns benefits to 1 organization
Practice locations: Jacksonville, NC; Wallace, NC

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

237 White St
Suite 2
Jacksonville, NC 28546-6351
Phone (910) 577-4977

Hospital & facility affiliations

  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue370
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
206NCMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewc PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2024 Accepting new patients
Onslow Memorial Hospital Inc Past Accepting new patients

Locations

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

237 White St
#2
Jacksonville, NC 28546
Phone (910) 577-4977

Organizations & group practices 2

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 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1013913276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 CLIFTON RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285408202",
            "telephone_number": "910-382-7424",
            "fax_number": "910-346-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WHITE ST STE 2",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466351",
            "telephone_number": "910-577-4977",
            "fax_number": "910-577-4980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "DANIEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "NC",
            "license": "206",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8908068",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dhagan@hagan.sammyehrdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "237 White St Ste 2",
            "city": "Jacksonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285466351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.