Active NPI
Courtney L Hayes, FNP
- Family Nurse Practitioner
- Blackshear, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN231529
- Practice address
- 3345 US Highway 84 Ste 102
Blackshear, GA 31516-2160 - Phone
- (912) 208-3581
- Fax
- (912) 807-1028
- NPI assigned
- Apr 24, 2019
- Last updated
- Dec 20, 2021
- 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 | RN231529 | GA | Primary |
Addresses
Primary practice location
3345 US Highway 84 Ste 102
Blackshear, GA 31516-2160
Mailing address
3345 US Highway 84 Ste 102
Blackshear, GA 31516-2160
Phone (912) 208-3581
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restor Metabolix of Columbus | Current | Accepting new patients | |
| RMX Blackshear LLC | Current | Accepting new patients | |
| The Baxley & Appling County Hospital Authority | Current | Accepting new patients | |
| Restor Metabolix of Savannah | Current | Accepting new patients | |
| RMX Baxley LLC | Current | Accepting new patients | |
| RMX Brunswick, LLC | Current | Accepting new patients | |
| The Baxley and Appling County Hospital Authority | Past | Accepting new patients |
Locations
719 W Parker St
Ste F
Baxley, GA 31513
Phone (912) 310-2395
3345 US Highway 84
Ste 102
Blackshear, GA 31516
Phone (912) 208-3581
664 Scranton Rd
Ste 107
Brunswick, GA 31520
Phone (912) 208-5555
1005 Talbotton Rd
Ste B
Columbus, GA 31904
Phone (706) 321-3901
1000 Towne Center Blvd
Ste 602
Pooler, GA 31322
Phone (912) 228-3502
Organizations & group practices 7
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.
-
- Clinic/Center
- Columbus, GA
- NPI 1154036929
-
- Clinic/Center
- Pooler, GA
- NPI 1578250304
-
dba Restor Metabolix of Blackshear
- Endocrinology, Diabetes & Metabolism Physician
- Blackshear, GA
- NPI 1174287379
-
dba Appling Healthcare Group of Blackshear
- Multi-Specialty Clinic/Center
- Blackshear, GA
- NPI 1548828676
-
dba Appling Medical Group
- Rural Health Clinic/Center
- Baxley, GA
- NPI 1073752143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1043874050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3345 US HIGHWAY 84 STE 102",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315162160",
"telephone_number": "912-208-3581",
"fax_number": "912-807-1028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3345 US HIGHWAY 84 STE 102",
"city": "BLACKSHEAR",
"state": "GA",
"postal_code": "315162160",
"telephone_number": "912-208-3581",
"fax_number": "912-807-1028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "COURTNEY",
"middle_name": "L",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-24",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN231529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blackshear, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.