Individual provider Active NPI

Margaret Logan, ANP-BC

  • Adult Health Nurse Practitioner
  • Hendersonville, TN
National Provider Identifier
1699029009
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
17076 Issued in TN
Practice address
353 New Shackle Island Rd Ste 148C
Hendersonville, TN 37075-2366
Phone
(615) 972-1100
Fax
(615) 537-4950
NPI assigned
Nov 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 176965 TN
Adult Health Nurse Practitioner 363LA2200X 17076 TN Primary

Addresses

Primary practice location

353 New Shackle Island Rd Ste 148C
Hendersonville, TN 37075-2366

Mailing address

353 New Shackle Island Rd Ste 148C
Hendersonville, TN 37075-2366
Phone (615) 972-1100

Other practice location 1

3443 Dickerson Pike Ste 730
Nashville, TN 37207-2527
Phone (615) 972-1100

Other identifiers 1

IdentifierTypeStateIssuer
1532107MedicaidTN

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
I20140703000988 TN Practitioner - Nurse Practitioner 7214152313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ken Homolya MD LLCGroup PAC ID 5799960464, 12 clinicians

Practice addresses (Care Compare)

406 N Whitney Ave
Suite 2
Cookeville, TN 38501-4243
Phone (931) 372-1799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.3 of 100Reported as group
Quality
52.15
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176965TNMDRegistered Nurse
17076TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Homolya, MD, LLC CurrentSince Oct 30, 2023 Accepting new patients
Ken Homolya MD LLC CurrentSince Oct 30, 2023 Accepting new patients

Locations

406 N Whitney Ave
Ste 2
Cookeville, TN 38501
Phone (931) 372-1799

929 W Jackson St
Ste A
Cookeville, TN 38501
Phone (931) 372-1799

103 Hazel Path
Ste 7
Hendersonville, TN 37075
Phone (615) 431-5484

625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484

5114 Old Hickory Blvd
Ste 201
Hermitage, TN 37076
Phone (615) 431-5484

3443 Dickerson Pike
Ste 730
Nashville, TN 37207
Phone (615) 389-7852

Organizations & group practices 2

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 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": "1352246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1699029009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 148C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752366",
            "telephone_number": "615-972-1100",
            "fax_number": "615-537-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 148C",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752366",
            "telephone_number": "615-972-1100",
            "fax_number": "615-537-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3443 Dickerson Pike Ste 730",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372072527",
            "country_code": "US",
            "telephone_number": "615-972-1100",
            "fax_number": "615-537-4950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "MARGARET",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-07",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "176965",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "17076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.