MEDICARE: DR. HAYDEN SHAFER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	60756	TN
2	390200000X	Student in an Organized Health Care Education/Training Program	227316	NC

General Provider Information

NPI Number	:	1952836975
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAYDEN SHAFER M.D.

Provider Business Mailing Address
First Line	:	225 S 11TH ST STE 101B
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3131
Country	:	US
Telephone Number	:	615-234-1007
Fax Number	:	833-471-3993

Provider Business Practice Location Address
First Line	:	225 S 11TH ST STE 101B
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37206-3131
Country	:	US
Telephone Number	:	615-234-1007
Fax Number	:	833-471-3993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	01/21/2026

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