Individual provider Active NPI

Hannah Mathis Hutson, PA-C

  • Physician Assistant
  • Murray, KY
National Provider Identifier
1760038582
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3944 Issued in TN
Practice address
1000 S 12TH St
Murray, KY 42071-9303
Phone
(270) 854-1444
NPI assigned
Aug 16, 2019
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3944 TN Primary

Addresses

Primary practice location

1000 S 12TH St
Murray, KY 42071-9303

Mailing address

PO Box 1258
Waynesboro, TN 38485-1258
Phone (931) 253-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190927002932 TN Practitioner - Physician Assistant 8729318142 Reassigns benefits to 1 organization
I20211001000555 KY Practitioner - Physician Assistant 8729318142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Physician Assistant

State licenses

LicenseStateTypeSpecialty
3944TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Kentucky CurrentSince Sep 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 18, 2019 Accepting new patients
Primary Care Medical Center Inc Physician Assistant Current Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 18, 2019 Accepting new patients

Locations

1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200

1297 Mineral Wells Ave
Paris, TN 38242
Phone (731) 227-6120

Interoperability endpoints

  • Direct secure messaging: hannah.hutson.1@22064.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1760038582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1258",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384851258",
            "telephone_number": "931-253-1110",
            "fax_number": "256-664-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420719303",
            "telephone_number": "270-854-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "HANNAH",
        "middle_name": "MATHIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

Verify at the official NPI Registry.