Nicholas R Hagood, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-693 Issued in AR

Practice address

1305 Paluxy Rd Ste a
Granbury, TX 76048-5641

Phone

(817) 573-6673

Fax

(817) 573-9783

NPI assigned

Feb 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Russell Rowe, MD, PA

  • Dermatology Physician
  • Gatesville, TX
  • NPI 1922658897

  TX

  Medicare reassignment Care Compare group
• Craig D. Urban, MD PA

  • Specialist
  • Abilene, TX
  • NPI 1770664740
  NPD (past)
• Cross Timbers Imaging

  • Radiology Clinic/Center
  • Stephenville, TX
  • NPI 1043648215
  NPD (past)
• Freedom Pain Care LLC

  • Certified Registered Nurse Anesthetist
  • Arlington, TX
  • NPI 1013008895
  NPD (past)
• Heart of Texas Family Medicine, PA

  • Family Medicine Physician
  • Brownwood, TX
  • NPI 1417067083
  NPD (past)
• Ameripath SC Inc

  • Clinical Medical Laboratory
  • Mount Pleasant, SC
  • NPI 1528030368
  NPD (past)

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

• Comanche County Medical Center Company

  • Critical Access Hospital
  • Comanche, TX
  • NPI 1346544616

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Rowe MD PA 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Comanche County Medical Center Hospital, Comanche, TX, CCN 451382

Merit-based Incentive Payment System (MIPS)

Final score

60.98 of 100Reported as group

Quality

80.71

Promoting interoperability

0

Improvement activities

40

Cost

72.54

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1255304564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W MAIN ST",
            "address_2": "BLDG 1",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765281024",
            "telephone_number": "254-265-7100",
            "fax_number": "254-875-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PALUXY RD STE A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485641",
            "telephone_number": "817-573-6673",
            "fax_number": "817-573-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOOD",
        "first_name": "NICHOLAS",
        "middle_name": "R",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA-693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "PA03300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Guidry, M.ED, NCC, LPC
• Gunjan Dhir PA
• Helen J Gustafson, MS CCC SLP
• H-E-B, LP
• H. Gerhart Smith, D.O., P.a.
• Thomas D Hamilton, DDS
• Harbor Lakes SCC LLC
• Terry Park Hardin, R.PH.
• Karlie M Hare
• Tyler Edward Harman, PTA

• All providers in Granbury, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.