Malik Jon Hazley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64319 Issued in TN

Practice address

211 Heritage Park Dr
Murfreesboro, TN 37129-1557

Phone

(615) 890-9006

Fax

(615) 494-5454

NPI assigned

May 24, 2018

Last updated

Oct 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group Tennessee LLCGroup PAC ID 0547667552, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Macon Community Hospital Hospital, Lafayette, TN, CCN 441305

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Murfreesboro Family Associates PLLC

  • Family Medicine Physician
  • Murfreesboro, TN
  • NPI 1902601529
  Medicare reassignment NPD Authorized official
• Privia Medical Group Tennessee LLC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1376110858
  Medicare reassignment Care Compare group
• Meharry Health Network, PC

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1942839147
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment NPD
• Meharry Health Network, PC

  • Family Medicine Physician
  • Franklin, TN
  • NPI 1013532241
  NPD

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

• Macon County General Hospital, Inc.

  dba Macon Community Hospital

  • Critical Access Hospital
  • Lafayette, TN
  • NPI 1417938846
  Care Compare affiliation

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1235620212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WEXFORD DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295847",
            "telephone_number": "347-909-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HERITAGE PARK DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291557",
            "telephone_number": "615-890-9006",
            "fax_number": "615-494-5454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Dr Db Todd Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372083501",
            "country_code": "US",
            "telephone_number": "615-327-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZLEY",
        "first_name": "MALIK",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-24",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "64319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina G. Haynes, MT-BC, LCAT
• Alexandra R Hays, COTA/L
• Casey Haywood, PT
• Asia Hazelwood
• Andrew J Hazley
• Healing Hands Chiropractic LLC
• Health4Life Chiropractic, Inc
• Healthlinktransport.LLC
• Healthy Habits
• Healthy Kids, LLC

• Family Medicine Physician in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.