Individual provider Active NPI

Angela M Nixon, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Adamsville, TN
National Provider Identifier
1578051850
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24126 Issued in TN
Practice address
726 E Main St
Adamsville, TN 38310-2458
Phone
(731) 925-2300
NPI assigned
Apr 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24126 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24126 TN Primary

Addresses

Primary practice location

726 E Main St
Adamsville, TN 38310-2458

Mailing address

PO Box 655
Savannah, TN 38372-0655
Phone (731) 925-2300

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
I20180620002874 TN Practitioner - Nurse Practitioner 9931454618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hardin County Regional Health CenterGroup PAC ID 3779490776, 30 clinicians

Practice addresses (Care Compare)

765 Florence Rd
Suite a
Savannah, TN 38372-5219
Phone (731) 925-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24126TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardin County Regional Health Center CurrentSince Mar 24, 2018 Accepting new patients
Hardin County Regional Health Center CurrentSince Mar 24, 2018 Accepting new patients

Locations

726 E Main St
Adamsville, TN 38310
Phone (731) 632-3010

765 Florence Rd
Savannah, TN 38372
Phone (731) 926-2300

150 E End Dr
Savannah, TN 38372

765 Florence Rd
Ste A
Savannah, TN 38372

Interoperability endpoints

  • Direct secure messaging: angela.nixon.p1@direct.lifespanhealth.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1578051850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "SAVANNAH",
            "state": "TN",
            "postal_code": "383720655",
            "telephone_number": "731-925-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 E MAIN ST",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383102458",
            "telephone_number": "731-925-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIXON",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24126",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adamsville, TN

Sources for this page

Verify at the official NPI Registry.