Individual provider Active NPI

Tonja Deann Hagamaker, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1184268641
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-065293 Issued in AL
Practice address
3980 Colonnade Pkwy
Birmingham, AL 35243
Phone
(205) 510-5000
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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 1-065293 AL Primary

Addresses

Primary practice location

3980 Colonnade Pkwy
Birmingham, AL 35243

Mailing address

3274 River Birch TRL
Chelsea, AL 35043-5600
Phone (251) 454-6711

Other practice location 1

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 510-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20191227001981 AL Practitioner - Nurse Practitioner 4880028869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

12375 Chelsea Rd
Chelsea, AL 35043-7463
Phone (205) 677-6401

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-065293ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Jul 21, 2024 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Nov 14, 2019 Accepting new patients
Baptist Health Centers, LLC CurrentSince Nov 14, 2019 Accepting new patients
American Family Care, LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3980 Colonnade Pkwy
Birmingham, AL 35243
Phone (205) 795-5390

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

708 Montgomery Hwy
#101
Vestavia Hills, AL 35216
Phone (205) 438-9679

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1184268641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 RIVER BIRCH TRL",
            "city": "CHELSEA",
            "state": "AL",
            "postal_code": "350435600",
            "telephone_number": "251-454-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35243",
            "telephone_number": "205-510-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 Colonnade Pkwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "35243",
            "country_code": "US",
            "telephone_number": "205-510-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAMAKER",
        "first_name": "TONJA",
        "middle_name": "DEANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-065293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.