Hannah M Madill, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

25162 Issued in TN

Practice address

8 Sheridan SQ Ste 110
Kingsport, TN 37660-7484

Phone

(423) 408-1504

Fax

(423) 218-0138

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

East Tennessee State University Quillen College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calladerm LLCGroup PAC ID 7719132752, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Calladerm LLC

  • MOHS-Micrographic Surgery Physician
  • Kingsport, TN
  • NPI 1316283252
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1760950828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ STE 110",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607484",
            "telephone_number": "423-408-1504",
            "fax_number": "423-218-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SHERIDAN SQ STE 110",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607484",
            "telephone_number": "423-408-1504",
            "fax_number": "423-218-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADILL",
        "first_name": "HANNAH",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mack-Gill, MD, MS
• Leslie Trivett Maclucas, APRN
• Whitney Leigh Maden, FNP
• Russell David Mader, M.D.
• Shailee A Madhok, M.D.
• Madison Operating Group LLC (Madison House)
• Patricia Madison, CRNA
• Michael Allen Magee, M.D.
• Brian Lee Maggard, MD
• Magnolia Meadows LLC

• Nurse Practitioner in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.