Active NPI
Adam Lee Hager, M.ED., ATC, SCAT
- Athletic Trainer
- Moore, SC
National Provider Identifier
1962819375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 610 Clovis CT
Moore, SC 29369-8840 - Phone
- (803) 493-5181
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
610 Clovis CT
Moore, SC 29369-8840
Mailing address
3234 Pinetuck LN
Rock Hill, SC 29730-6558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1962819375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3234 PINETUCK LN",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297306558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 CLOVIS CT",
"city": "MOORE",
"state": "SC",
"postal_code": "293698840",
"telephone_number": "803-493-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAGER",
"first_name": "ADAM",
"middle_name": "LEE",
"credential": "M.ED., ATC, SCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.