Active NPI
Sandra Wall Hayes, WHNP
- Obstetrics & Gynecology Nurse Practitioner
- Athens, GA
National Provider Identifier
1053608489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- RN164157
- Practice address
- 1500 Oglethorpe Ave Ste 200C
Athens, GA 30606-2165 - Phone
- (706) 549-1111
- NPI assigned
- Jul 6, 2011
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN164157 | GA | Primary |
Addresses
Primary practice location
1500 Oglethorpe Ave Ste 200C
Athens, GA 30606-2165
Mailing address
1500 Oglethorpe Ave Ste 200C
Athens, GA 30606-2165
Phone (706) 549-1111
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN164157 | GA | MD | Obstetrics & Gynecology Nurse Practitioner |
Interoperability endpoints
- sandi.hayes@ga003.digichart.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1053608489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 OGLETHORPE AVE STE 200C",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062165",
"telephone_number": "706-549-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 OGLETHORPE AVE STE 200C",
"city": "ATHENS",
"state": "GA",
"postal_code": "306062165",
"telephone_number": "706-549-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "SANDRA",
"middle_name": "WALL",
"credential": "WHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "GA",
"license": "RN164157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.