Jeffrey N Hairston, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

002922 Issued in GA

Practice address

2041 Mesa Valley Way
Suite 100
Austell, GA 30106-6828

Phone

(770) 944-1100

Fax

(770) 941-7227

NPI assigned

May 7, 2007

Last updated

Jul 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

64.37 of 100Reported as group

Quality

48.85

Promoting interoperability

100

Improvement activities

20

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Resurgens, LLC

  dba Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1386697928
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1063625051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 MESA VALLEY WAY",
            "address_2": "SUITE 100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066828",
            "telephone_number": "770-944-1100",
            "fax_number": "770-941-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MESA VALLEY WAY",
            "address_2": "SUITE 100",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066828",
            "telephone_number": "770-944-1100",
            "fax_number": "770-941-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "JEFFREY",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "002922",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002922",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507133071F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507133071E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507133071G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nino Gvajaia, MD
• Gilbert Twumasi Gyamfi
• H.E.R.O. Institute LLC (H.E.R.O Care Clinic)
• Frank Hachmuth, PHYSICIAN ASSISTANT
• Natalie Margaret Hain, FNP
• Reza H Hajkhan, PAAA
• M. Ramzy Saleh Hajmurad, M.D.
• Omar Hajmurad, M.D.
• Micaela Hale
• Janet Lorraine Haley, ARNP

• Surgical Physician Assistant in Austell, GA
• Providers in Austell, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.