Individual provider Active NPI

Steve D. Hagan, NP

  • Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1568048890
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
29059 Issued in TN
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

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210414000425 TN Practitioner - Nurse Practitioner 6305254202 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
Amg-Hillside LLCGroup PAC ID 9436240017, shared by 7 NPIs, 25 clinicians

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 Hospital, Pulaski, TN, CCN 440020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Hillside LLC CurrentSince Nov 29, 2021 Accepting new patients
Amg-Hillside LLC Current Accepting new patients
Amg-Crockett, LLC Nurse Practitioner CurrentSince Nov 29, 2021 Accepting new patients
Amg-Crockett, LLC CurrentSince Nov 29, 2021 Accepting new patients
Amg-Hillside, LLC CurrentSince Nov 29, 2021 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

  • Direct secure messaging: steve.hagan.1@19363.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.