Individual provider Active NPI

Courtney L Hayes, FNP

  • Family Nurse Practitioner
  • Blackshear, GA
National Provider Identifier
1043874050
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN231529 Issued in GA
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restor Metabolix of Columbus CurrentSince Feb 1, 2023 Accepting new patients
RMX Blackshear LLC CurrentSince Oct 18, 2021 Accepting new patients
The Baxley & Appling County Hospital Authority CurrentSince Oct 18, 2021 Accepting new patients
Restor Metabolix of Savannah CurrentSince Apr 18, 2023 Accepting new patients
RMX Baxley LLC CurrentSince Sep 13, 2021 Accepting new patients
RMX Brunswick, LLC CurrentSince Mar 1, 2023 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.

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

Verify at the official NPI Registry.