Individual provider Active NPI

Hailey Thomas, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1952992810
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28698 Issued in TN
Practice address
1947 Madison St Ste B
Clarksville, TN 37043-8033
Phone
(931) 614-7169
Fax
(877) 958-9018
NPI assigned
Feb 2, 2021
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28698 TN Primary

Addresses

Primary practice location

1947 Madison St Ste B
Clarksville, TN 37043-8033

Mailing address

1947 Madison St Ste B
Clarksville, TN 37043-8033
Phone (931) 614-7169

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hailey.thomas.1@29601.direct.athenahealth.com Direct

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
I20210624000879 TN Practitioner - Nurse Practitioner 2567863889 Reassigns benefits to 4 organizations
I20241210002361 KY Practitioner - Nurse Practitioner 2567863889 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians

Practice addresses (Care Compare)

124 W Nashville St
Pembroke, KY 42266-9763
Phone (731) 394-1145

1947 Madison St
Suite B
Clarksville, TN 37043-8033
Phone (931) 614-7169

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28698TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iris Medical Group Kentucky LLC CurrentSince Nov 19, 2024 Accepting new patients
Ultra Health Providers III LLC CurrentSince Jan 5, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 17, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jun 17, 2021 Accepting new patients
Iris Medical Group Family CurrentSince Mar 1, 2023 Accepting new patients
Ultra Health LLC CurrentSince May 28, 2025 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

1131 Magnolia St
Bowling Green, KY 42103
Phone (615) 873-4490

366 S Washington St
Clinton, KY 42031
Phone (270) 653-2461

124 W Nashville St
Pembroke, KY 42266
Phone (270) 475-4173

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

1690 Fort Campbell Blvd
Clarksville, TN 37042
Phone (931) 648-4838

2224 Madison St
Ste B
Clarksville, TN 37043
Phone (931) 503-7015

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Interoperability endpoints

  • Direct secure messaging: hailey.thomas.1@29601.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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 1

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1952992810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 MADISON ST STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438033",
            "telephone_number": "931-614-7169",
            "fax_number": "877-958-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 MADISON ST STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438033",
            "telephone_number": "931-614-7169",
            "fax_number": "877-958-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HAILEY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hailey.thomas.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "direct message email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1947 Madison St Ste B",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370438033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.