Individual provider Active NPI

Collin Baggett, AG-ACNP

  • Acute Care Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1548933773
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
29774 Issued in TN
Practice address
102 Wessington PL
Hendersonville, TN 37075-3085
Phone
(615) 822-2214
NPI assigned
Jul 25, 2021
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 29774 TN Primary

Addresses

Primary practice location

102 Wessington PL
Hendersonville, TN 37075-3085

Mailing address

3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018

Other practice location 1

4220 Harding Pike
Nashville, TN 37205-2095
Phone (615) 222-2111

Other practice location 2

204 Medical Dr
Lafayette, TN 37083-1719
Phone (615) 822-2214

Other practice location 3

105 Redbud Dr Ste D
Portland, TN 37148-1673
Phone (615) 822-2214

Other identifiers 1

IdentifierTypeStateIssuer
29774OtherTNTN APRN LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clb0065@uah.edu Direct

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220421000022 TN Practitioner - Nurse Practitioner 8628465606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

105 Redbud Dr
Suite D
Portland, TN 37148-1673
Phone (615) 822-2214

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29774TNMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC CurrentSince Oct 1, 2022 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jan 1, 2022 Accepting new patients
Advanced Diagnostic Imaging PC CurrentSince Oct 1, 2022 Accepting new patients
Tennessee Comprehensive Lung and Sleep Center,PC Past Accepting new patients

Locations

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

300 20th Ave N
Fl 9
Nashville, TN 37203

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

105 Redbud Dr
Ste D
Portland, TN 37148
Phone (615) 822-2214

Interoperability endpoints

  • Direct secure messaging: collin.baggett@ahp.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1548933773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 WESSINGTON PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753085",
            "telephone_number": "615-822-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 Harding Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372052095",
            "country_code": "US",
            "telephone_number": "615-222-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "TN",
            "postal_code": "370831719",
            "country_code": "US",
            "telephone_number": "615-822-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Redbud Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TN",
            "postal_code": "371481673",
            "country_code": "US",
            "telephone_number": "615-822-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGGETT",
        "first_name": "COLLIN",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-25",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "29774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN APRN LICENSE",
            "identifier": "29774",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clb0065@uah.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4220 Harding Pike",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372052095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.