CARSON LEE HAGOOD – Certified Registered Nurse Anesthetist, NPI 1205406931

Certified Registered Nurse Anesthetist

CARSON LEE HAGOOD is a healthcare provider. based in Fultondale, Alabama. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 34060 (TN). The NPI Number for CARSON LEE HAGOOD is 1205406931

Main info

Male

Sole Proprietor

3 Years Of Experience

Accepts Medicare Assignment

Name

CARSON LEE HAGOOD

NPI

1205406931

Phone

(931) 309-0211

Address

354 CHAPEL HILL TRL

Enumeration Date

25 June 2021

Last Update Date

6 February 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6153274304

Graduation Year

2023 (3 years ago)

PAC ID

1052772514

Group Practice PAC ID

6901702307

Professional Enrollment ID

I20230731002416

Address ID

TN372031448NA110XXAVEX406

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience37

Completeness75

Years active:4State licenses:1Digital endpointsOther names

1,626 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AL

Provider Addresses for CARSON LEE HAGOOD

354 CHAPEL HILL TRL
FULTONDALE, AL 350686077
Phone: (931) 309-0211
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20230731002416	I	Certified Registered Nurse Anesthetist (Crna)	TN	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6901702307View full group profile

Name	Specialty	State
MARK DENTZ (M.D.)	-	TN
MISS FAITH NANCE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
GARY SUTHERLAND (CRNA)	-	TN
WILLIE K PRICE (CRNA)	-	TN
TODD BOHLING (CRNA)	Certified Registered Nurse Anesthetist (Crna)	KY
LENA ROACH (CRNA)	-	TN
CHERYL EHRHORN (CRNA)	-	TN
MEGAN SHAREE ESTES (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN
LAURA T JOHNSON (CRNA)	-	TN
AMANDA YOUNG (CRNA)	Certified Registered Nurse Anesthetist (Crna)	TN

Reviews

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Frequently asked questions

What number should I use to identify CARSON LEE HAGOOD for billing?

Administrative and clinical systems typically use NPI 1205406931 for CARSON LEE HAGOOD.

Is CARSON LEE HAGOOD's NPI status active today?

Active status means CARSON LEE HAGOOD's NPI record is not deactivated in the public file.

What does the directory say CARSON LEE HAGOOD does?

Insurance directories may phrase it differently, but here CARSON LEE HAGOOD maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

What geographic area is tied to CARSON LEE HAGOOD?

CARSON LEE HAGOOD is associated with Fultondale, Alabama in the same public data insurers reference.

Why is information missing for CARSON LEE HAGOOD?

Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.