Individual provider Active NPI

Nicholas Paul Hahn, DO

  • Family Medicine Physician
  • Picayune, MS
National Provider Identifier
1124656848
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
341211 Issued in LA
Practice address
146 Highland Pkwy
Picayune, MS 39466-5575
Phone
(601) 358-9765
Fax
(601) 358-9407
NPI assigned
Mar 29, 2020
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 37762 MS
Family Medicine Physician 207Q00000X 341211 LA Primary

Addresses

Primary practice location

146 Highland Pkwy
Picayune, MS 39466-5575

Mailing address

146 Highland Pkwy
Picayune, MS 39466-5575
Phone (601) 358-9765

Other identifiers 1

IdentifierTypeStateIssuer
2523988MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240516000999 LA Practitioner - Family Practice 4486078722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
341211LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical Metairie, LLC CurrentSince May 19, 2024 Accepting new patients
PMR la Holding, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3530 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 264-5142

3100 Gentilly Blvd
New Orleans, LA 70122
Phone (504) 383-0599

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1124656848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 HIGHLAND PKWY",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665575",
            "telephone_number": "601-358-9765",
            "fax_number": "601-358-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HIGHLAND PKWY",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665575",
            "telephone_number": "601-358-9765",
            "fax_number": "601-358-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "NICHOLAS",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "37762",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "341211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2523988",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.