Individual provider Active NPI

Rhonda Jeannean Haynes, FNP

  • Acute Care Nurse Practitioner
  • Albany, GA
National Provider Identifier
1003361064
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN211603 Issued in GA
Practice address
417 W 3Rd Ave
Albany, GA 31701-1943
Phone
(229) 312-1000
NPI assigned
Aug 19, 2016
Last updated
May 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN211603 GA
Acute Care Nurse Practitioner 363LA2100X RN211603 GA Primary

Addresses

Primary practice location

417 W 3Rd Ave
Albany, GA 31701-1943

Mailing address

212 Bright Water Dr
Leesburg, GA 31763-4184
Phone (229) 395-3250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160825002182 GA Practitioner - Nurse Practitioner 7517252828 Reassigns benefits to 7 organizations
I20250211002418 VA Practitioner - Nurse Practitioner 7517252828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN211603GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jul 29, 2024 Accepting new patients
Phoebe Dorminy Surgical Associates CurrentSince Jul 1, 2017 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 29, 2024 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Jun 1, 2017 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Jul 1, 2017 Accepting new patients
Phoebe Sumter Medical Center, Inc. Current Accepting new patients
Sound Physicians Intensivists of Virginia LLC CurrentSince Nov 15, 2024 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2020 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jun 1, 2020 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Feb 1, 2023 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Feb 1, 2023 Accepting new patients

Locations

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1003361064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 BRIGHT WATER DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317634184",
            "telephone_number": "229-395-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 3RD AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011943",
            "telephone_number": "229-312-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "RHONDA",
        "middle_name": "JEANNEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN211603",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN211603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.