Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyle Hagan, PA0C

Individual provider Military Health Care Provider · NPI 1841719390

Kyle Hagan, PA0C is a Physician Assistant in Germantown, Tennessee. Qualified in 2017, 9 years ago. Practices with Campbell Clinic, PC, a 225-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1400 S Germantown Rd
Germantown, TN 38138-2205
Phone: (901) 759-3100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 — (910) 450-4300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1841719390
Entity typeIndividual (Type 1)
GenderMale
Credentials PA0C
Sole proprietorNo
NPI enumeratedSeptember 15, 2017
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Campbell Clinic, Pc — 225 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare