Hayden Moore

Individual provider Active NPI Physician Assistant · La Vergne, TN

NPI 1427972702 · NPPES record last updated Aug 7, 2026

Key facts

NPI
1427972702
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
5148A Murfreesboro Rd
La Vergne, TN 37086-1009
Phone
(615) 213-2273
Fax
(615) 213-2271
NPI assigned
Aug 7, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TN Yes

Addresses

Primary practice location

5148A Murfreesboro Rd
La Vergne, TN 37086-1009

Mailing address

109 Brookfield Ave
Nashville, TN 37205-4401

Other providers in La Vergne, TN

All providers in La Vergne, TN · Physician Assistant in Tennessee

Sources for this page

Verify at the official NPI Registry.