Haneen Alhams, PA-C
Individual provider Active NPI Physician Assistant · Smyrna, TN
NPI 1619722683 · NPPES record last updated Jul 12, 2025
Key facts
- NPI
- 1619722683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5944 (TN)
- Practice address
- 200 Stonecrest Blvd
Smyrna, TN 37167-6810 - Phone
- (615) 768-2000
- NPI assigned
- Apr 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621003341 | TN | Practitioner - Physician Assistant | 5294278958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5944 | TN | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5944 | TN | Yes |
Addresses
Primary practice location
200 Stonecrest Blvd
Smyrna, TN 37167-6810
Mailing address
200 Stonecrest Blvd
Smyrna, TN 37167-6810
Phone (615) 768-2000
Other providers in Smyrna, TN
- Agilitas USA Inc.
- Layla Ahmed
- Air Evac EMS, Inc.
- Oluwatoyin Ruth Ajogbeje
- Akr Enterprise Inc
- George Latto Alissandratos
- Donald Wood Allen
- Jennifer Leigh Allen
- Scarlett Allen
- Sydney Renee Allman
All providers in Smyrna, TN · Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.