Jamie Nekole Hazard, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000016208 Issued in TN

Practice address

707 Main St
Huntland, TN 37345-3263

Phone

(931) 469-4662

NPI assigned

Nov 29, 2011

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

Other identifiers 1

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

University of Tennessee, HSC, College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Care Home health agency, Winchester, TN, CCN 447238
• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamie.hazard.1@19363.direct.athenahealth.com

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.

• Amg-Southern Tennessee LLC

  • General Practice Physician
  • Winchester, TN
  • NPI 1164789467
  Medicare reassignment Care Compare group NPD
• Amg - Southern Tennessee, LLC

  • Neurology Physician
  • Winchester, TN
  • NPI 1922436195
  NPD
• Amg-Southern Tennessee LLC

  • Rural Health Clinic/Center
  • Tullahoma, TN
  • NPI 1174365803
  NPD
• Amg -Southern Tennessee LLC

  • Internal Medicine Physician
  • Monteagle, TN
  • NPI 1699792390
  NPD (past)
• Elk River Physicians Group, PLLC

  • Podiatrist
  • Winchester, TN
  • NPI 1386686806
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Winchester, TN
  • NPI 1730137415
  Care Compare affiliation
• Southern Tennessee Medical Center LLC

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781
  Care Compare affiliation

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1790052165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 PLEASANT RIDGE LN",
            "city": "HUNTLAND",
            "state": "TN",
            "postal_code": "373455934",
            "telephone_number": "931-308-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 MAIN ST",
            "city": "HUNTLAND",
            "state": "TN",
            "postal_code": "373453263",
            "telephone_number": "931-469-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZARD",
        "first_name": "JAMIE",
        "middle_name": "NEKOLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000016208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528097",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Mitchell Cox, MD
• Dna Assistance, LLC
• Huntland Clinic, PLLC
• Huntland Drugs
• Michael E Walp, DDS
• Stephanie L Wise, MS, ATC, CSCS

• Family Nurse Practitioner in Huntland, TN
• Providers in Huntland, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.