Active NPI
Steve D. Hagan, NP
- Nurse Practitioner
- Lawrenceburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 29059
- Practice address
- 726 N Locust Ave
Lawrenceburg, TN 38464-2865 - Phone
- (931) 766-7056
- NPI assigned
- Mar 18, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29059 | TN | Primary |
Addresses
Primary practice location
726 N Locust Ave
Lawrenceburg, TN 38464-2865
Mailing address
581 Old Florence Pulaski Rd
Leoma, TN 38468-5363
Phone (931) 244-0105
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
Enrollment records 1
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
- Amg-Hillside LLC
Practice addresses (Care Compare)
1255 E College St
Suite 400
Pulaski, TN 38478-4556
Phone (931) 766-7500
181 Bre Ave
Suite C
Pulaski, TN 38478-2944
Phone (931) 363-3086
202 Hillside Dr
Pulaski, TN 38478-4566
Phone (931) 363-4543
204 Hillside Dr
Pulaski, TN 38478-4566
Phone (931) 363-3514
Hospital & facility affiliations
- Southern Tennessee Regional Health System Pulaski
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Hillside LLC | Current | Accepting new patients | |
| Amg-Hillside LLC | Current | Accepting new patients | |
| Amg-Crockett, LLC | Nurse Practitioner | Current | Accepting new patients |
| Amg-Crockett, LLC | Current | Accepting new patients | |
| Amg-Hillside, LLC | Current | Accepting new patients | |
| Amg-Hillside LLC | Past | Accepting new patients |
Locations
1908 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7600
2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800
722 N Military St
Loretto, TN 38469
Phone (931) 853-4622
4955 Highway 43 N
#D
Mt Pleasant, TN 38474
Phone (931) 964-0849
181 Bre Ave
Ste C
Pulaski, TN 38478
Phone (931) 363-3086
1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514
204 Hillside Dr
Pulaski, TN 38478
Phone (931) 363-3514
Interoperability endpoints
- steve.hagan.1@19363.direct.athenahealth.com
- gsa9015@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Pulaski, TN
- NPI 1710105499
-
- Rural Health Clinic/Center
- Lawrenceburg, TN
- NPI 1891580858
-
- Rural Health Clinic/Center
- Lynnville, TN
- NPI 1407688369
-
- Surgery Physician
- Pulaski, TN
- NPI 1689968109
-
- Rural Health Clinic/Center
- Pulaski, TN
- NPI 1568190551
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Pulaski, TN
- NPI 1841388519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616025600000",
"number": "1568048890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "581 OLD FLORENCE PULASKI RD",
"city": "LEOMA",
"state": "TN",
"postal_code": "384685363",
"telephone_number": "931-244-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 N LOCUST AVE",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384642865",
"telephone_number": "931-766-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGAN",
"first_name": "STEVE",
"middle_name": "D.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-18",
"last_updated": "2021-03-18",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "29059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.