Active NPI
Callie Haynes, FNP-BC
- Family Nurse Practitioner
- Tifton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP287090
- Practice address
- 1622 Madison Ave
Tifton, GA 31794-3756 - Phone
- (229) 387-8061
- NPI assigned
- Dec 13, 2022
- Last updated
- Oct 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP287090 | GA | Primary |
Addresses
Primary practice location
1622 Madison Ave
Tifton, GA 31794-3756
Mailing address
532 Osprey Cir
Tifton, GA 31794-1672
Phone (229) 326-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1493 Kennedy Rd
Suite a
Tifton, GA 31794-4178
Phone (229) 391-4130
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP287090 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Orthopedic Surgeons of Georgia, LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Orthopedic Surgeons of Georgia LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients |
Locations
100 Doctors Dr
Ste F
Douglas, GA 31533
Phone (912) 383-4945
11 Cross St
Hazlehurst, GA 31539
Phone (912) 375-2884
1493 Kennedy Rd
Ste A
Tifton, GA 31794
Phone (229) 391-4130
1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
Organizations & group practices 5
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.
-
dba Southwell Mobile Clinic
- Family Medicine Physician
- Tifton, GA
- NPI 1881203305
-
dba Orthopedic Surgeons of Georgia
- Orthopaedic Surgery Physician
- Douglas, GA
- NPI 1427337294
-
dba Optim Pain Management - Tifton
- Pain Clinic/Center
- Tifton, GA
- NPI 1164857686
-
dba WorkSmart Occupational Medicine
- Clinic/Center
- Tifton, GA
- NPI 1003980996
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tift Regional Medical Center
- General Acute Care Hospital
- Tifton, GA
- NPI 1962462226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1003527714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 OSPREY CIR",
"city": "TIFTON",
"state": "GA",
"postal_code": "317941672",
"telephone_number": "229-326-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1622 MADISON AVE",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943756",
"telephone_number": "229-387-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "CALLIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-13",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "NP287090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.