Haynes Sports Medicine

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

HAYNES SPORTS MEDICINE

Practice address

6335 Hospital Pkwy Ste 302
Johns Creek, GA 30097-5712

Phone

(678) 513-8111

Fax

(678) 990-1956

NPI assigned

May 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Bryce Haynes Jr., MDNPI 1063436103

Title

Owner/Surgeon

Phone

(678) 513-8111

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William B Haynes Jr., MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Johns Creek, GA
  • NPI 1063436103
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1003135336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 SOUTHERS CIR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245487",
            "telephone_number": "678-513-8111",
            "fax_number": "678-990-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6335 HOSPITAL PKWY STE 302",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975712",
            "telephone_number": "678-513-8111",
            "fax_number": "678-990-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRYCE",
        "authorized_official_title_or_position": "OWNER/SURGEON",
        "authorized_official_telephone_number": "678-513-8111",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Deane Hartman, MS
• Chelsea Hawkins, D.C.
• Christopher Hawkins
• Katherine Hawkins
• Reem Hawlani, NBC-HWC
• William B Haynes Jr., MD
• Health One Medical Group LLC
• Healthcare Advantages, LLC
• Healthiq Healthcare LLC
• Healwise LLC

• Orthopaedic Surgery Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.