Individual provider Active NPI

Shawn Joseph Hayden, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1609835909
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD30962 Issued in TN
Practice address
1750 Madison Ave Ste 130
Memphis, TN 38104-6428
Phone
(901) 899-5010
Fax
(901) 899-5011
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD30962 TN Primary

Addresses

Primary practice location

1750 Madison Ave Ste 130
Memphis, TN 38104-6428

Mailing address

1478 Goodbar Ave
Memphis, TN 38104-4911
Phone (901) 454-5117

Other identifiers 1

IdentifierTypeStateIssuer
1525288MedicaidTN

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000814 TN Practitioner - Internal Medicine 9335299189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honeycomb Medical Group PLCGroup PAC ID 2668837204, 16 clinicians

Practice addresses (Care Compare)

1750 Madison Ave
Suite 130
Memphis, TN 38104-6428
Phone (901) 617-4338

2245 S Lauderdale St
Memphis, TN 38106-7517
Phone (901) 582-7660

6401 Poplar Ave
Suite 600
Memphis, TN 38119-4808
Phone (901) 753-3322

806 S Cooper St
Memphis, TN 38104-5406
Phone (901) 896-0739

Hospital & facility affiliations

  • Beacon Home Health Home health agency, Memphis, TN, CCN 447277
  • Baptist Trinity Homecare & Hospice Home health agency, Cordova, TN, CCN 447407
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049
  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30962TNMDInternal Medicine Physician
30962TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Friends for Life Corporation CurrentSince Aug 10, 2021 Accepting new patients
Honeycomb Medical Group PLC Internal Medicine CurrentSince May 2, 2023 Accepting new patients
Nashville Cares CurrentSince Aug 10, 2021 Accepting new patients
Midsouth Independent Group, PLLC Internal Medicine CurrentSince Sep 15, 2021 Accepting new patients
Methodist Healthcare - Memphis Hospitals PastSince Aug 31, 2011 Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients
Methodist Healthcare - Memphis Hospitals Past Accepting new patients

Locations

6401 Poplar Ave
Ste 600
Memphis, TN 38119
Phone (901) 474-3530

1750 Madison Ave
Ste 130
Memphis, TN 38104
Phone (901) 617-4338

806 S Cooper St
Memphis, TN 38104
Phone (901) 896-0739

6401 Poplar Ave
Ste 604
Memphis, TN 38119
Phone (901) 474-2402

Interoperability endpoints

  • Direct secure messaging: shawn.hayden.1@20088.direct.athenahealth.com
  • Direct secure messaging: shayden32986@mlh.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEADD
  • Direct secure messaging: shawn.hayden@hmg.eclinicaldirectplus.com

Organizations & group practices 7

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 6

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1609835909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 GOODBAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044911",
            "telephone_number": "901-454-5117",
            "fax_number": "901-454-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MADISON AVE STE 130",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046428",
            "telephone_number": "901-899-5010",
            "fax_number": "901-899-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "SHAWN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD30962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525288",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.