Provider Demographics
NPI:1174544811
Name:HASTINGS, MARGARET COLLEEN (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:COLLEEN
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 CRESTHAVEN RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-0809
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1325 EASTMORELAND AVE STE 445
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-7536
Practice Address - Country:US
Practice Address - Phone:901-866-8810
Practice Address - Fax:901-302-2450
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37697207RN0300X, 2080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1174544811Medicaid
AR154262001Medicaid
AR99604OtherBCBS AR
TN7008588OtherAETNA
MS09235864Medicaid
TN1504965Medicaid
TN4092224OtherBCBS TN
TN3893919Medicaid