Mary Racheal Havens, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP001393 Issued in GA

Practice address

454 Smith Ave
Thomasville, GA 31792-5535

Phone

(229) 227-5510

NPI assigned

Oct 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA/Endpoint/CEIBAA
• FHIR API: https://fhir4.healow.com/fhir/r4/CEIBAA

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

• Primary Care of Southwest Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1952196560

  GA

  Medicare reassignment NPD
• Primary Care of Southwest Georgia, Inc

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1992102073
  NPD
• Primary Care of Southwest Georgia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Thomasville, GA
  • NPI 1366641318

  Family Medicine

  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Primary Care of Southwest Georgia, Inc.

  • Federally Qualified Health Center (FQHC)
  • Blakely, GA
  • NPI 1780607754

  Family Medicine

  NPD (past)
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1023780400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-227-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 SMITH AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925535",
            "telephone_number": "229-227-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "MARY RACHEAL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP001393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Haskin
• Kellie Anne Hatcher, L.D.
• Heather Renee Hatchett, LPC
• Jackson E Hatfield
• Melanie Hattink, FNP
• Hawk One Transportation, LLC
• Hawkin Heart in-Homecares 2, LLC
• Hawkins Heart in-Homecare, Inc.
• Sanford Reginald Hawkins, M.D.
• Sandra Wauthena Haymon, PH.D.

• All providers in Thomasville, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.