Organization Active NPI

Hayes Barton Wellness Inc.

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1053914051
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAYES BARTON WELLNESS INC.
Practice address
2000 Fairview Rd
Raleigh, NC 27608-2374
Phone
(918) 835-0457
Fax
(918) 835-0459
NPI assigned
Nov 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Brent TalleyNPI 1952532913
Title
Authorized Official
Phone
(918) 835-0457

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2000 Fairview Rd
Raleigh, NC 27608-2374

Mailing address

2000 Fairview Rd
Raleigh, NC 27608-2374
Phone (918) 835-0457

National Provider Directory

National Provider Directory

Locations

2000 Fairview Rd
Raleigh, NC 27608
Phone (918) 835-0457

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1053914051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FAIRVIEW RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082374",
            "telephone_number": "918-835-0457",
            "fax_number": "918-835-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FAIRVIEW RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082374",
            "telephone_number": "918-835-0457",
            "fax_number": "918-835-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYES BARTON WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-835-0457"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.