Vivian S. Hayes, NP-C
Individual provider Active NPI Family Nurse Practitioner · Decatur, GA
NPI 1013946359 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013946359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN062405 (GA)
- Practice address
- 1670 Clairmont Rd # 170C
Decatur, GA 30033-4004 - Phone
- (404) 321-6111
- Fax
- (404) 235-3038
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendship Community Healthcare Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN062405 | GA | Yes |
Addresses
Primary practice location
1670 Clairmont Rd # 170C
Decatur, GA 30033-4004
Mailing address
616 Watson CV
Stone Mountain, GA 30087-6110
Phone (404) 321-6111
Other providers in Decatur, GA
- Tayler Hawthorne
- Anthony Hayden
- Hayes Security Services,Inc.
- Kamisha Hayes
- Melissa Leigh Hayes
- William Gregory Hayes
- Brandon Haygood
- Dale Leigh Haynes
- Dejah Dominique Haynes
- Cantrina Hayslett
All providers in Decatur, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.