NPIMap

Individual provider Active NPI

Haley Beecham Phillips, FNP-C

  • Family Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1104308006
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24660 Issued in TN
Practice address
184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone
(931) 762-5115
Fax
(931) 762-5170
NPI assigned
Sep 6, 2018
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24660 TN Primary

Addresses

Primary practice location

184 Prosser Rd
Lawrenceburg, TN 38464-4233

Mailing address

184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190114002973 TN Practitioner - Nurse Practitioner 7517203490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians

Practice addresses (Care Compare)

1275 E College St
Pulaski, TN 38478-4545

184 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-5115

190 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-6571

192 Prosser Rd
Lawrenceburg, TN 38464-4233
Phone (931) 762-2332

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24660TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Hillside LLC CurrentSince Dec 18, 2018 Accepting new patients
Amg-Crockett, LLC CurrentSince Dec 18, 2019 Accepting new patients
Amg-Hillside LLC CurrentSince Dec 18, 2018 Accepting new patients
Aligned Medical Center LLC Family CurrentSince May 17, 2019 Accepting new patients
Amg-Hillside LLC Current Accepting new patients
Amg-Crockett, LLC CurrentSince Dec 18, 2019 Accepting new patients
Amg-Crockett, LLC Past Accepting new patients
First Choice Health, LLC Past Accepting new patients
Amg Crockett LLC Past Accepting new patients

Locations

1605 S Locust Ave
Ste 200
Lawrenceburg, TN 38464
Phone (931) 766-4560

184 Prosser Rd
Lawrenceburg, TN 38464
Phone (931) 762-1800

2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800

718 N Military Ave
Lawrenceburg, TN 38464
Phone (931) 381-2110

4955D Highway 43 N
Mt Pleasant, TN 38474
Phone (931) 964-0849

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

181 Bre Ave
Ste C
Pulaski, TN 38478
Phone (931) 363-3086

204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: haley.phillips.1@19363.direct.athenahealth.com
  • Direct secure messaging: xaf1300@yourcarecommunity.org

Organizations & group practices 9

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

Hospital & facility affiliations 11

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1104308006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PROSSER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644233",
            "telephone_number": "931-762-5115",
            "fax_number": "931-762-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PROSSER RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644233",
            "telephone_number": "931-762-5115",
            "fax_number": "931-762-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "HALEY",
        "middle_name": "BEECHAM",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.