Individual provider Active NPI

Susan O Hankins, NP

  • Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1629724570
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
31257 Issued in TN
Practice address
141 Hillcrest Dr
Clarksville, TN 37043-5088
Phone
(931) 563-0738
Fax
(931) 552-0999
NPI assigned
Mar 1, 2022
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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 31257 TN Primary

Addresses

Primary practice location

141 Hillcrest Dr
Clarksville, TN 37043-5088

Mailing address

359 Grassland Dr
Clarksville, TN 37043-1706
Phone (931) 896-5984

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
I20220911000036 TN Practitioner - Nurse Practitioner 2163807223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

651 Dunlop LN
Clarksville, TN 37040-5015
Phone (931) 502-1370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.42 of 100Reported as group
Quality
60.87
Improvement activities
40
Cost
79.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31257TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Aug 1, 2024 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Jun 15, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jul 29, 2022 Accepting new patients
Tennessee Orthopaedic Alliance PA CurrentSince Jul 29, 2022 Accepting new patients
Afc Physicians of Tennessee, PC CurrentSince Jun 15, 2022 Accepting new patients

Locations

141 Hillcrest Dr
Clarksville, TN 37043
Phone (931) 245-8500

1763 Madison St
Clarksville, TN 37043
Phone (931) 278-8000

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

291 Indian Lake Blvd
Hendersonville, TN 37075
Phone (615) 265-5008

6606 Charlotte Pike
Ste 104
Nashville, TN 37209
Phone (615) 630-6095

8 City Blvd
Ste 100
Nashville, TN 37209
Phone (615) 263-0155

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: susan.hankins.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: susan.hankins.p3@direct.toa.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1629724570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 GRASSLAND DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431706",
            "telephone_number": "931-896-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HILLCREST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435088",
            "telephone_number": "931-563-0738",
            "fax_number": "931-552-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "SUSAN",
        "middle_name": "O",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "31257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.