Active NPI
Haiba Sonyika, M.D.
- Specialist
- Fayetteville, GA
National Provider Identifier
1083779391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 033713
- Practice address
- 155 Carnegie PL
Suite 203
Fayetteville, GA 30214-3981 - Phone
- (678) 817-6991
- Fax
- (678) 817-6992
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 033713 | GA | Primary |
Addresses
Primary practice location
155 Carnegie PL
Suite 203
Fayetteville, GA 30214-3981
Mailing address
155 Carnegie PL
Suite 203
Fayetteville, GA 30214-3981
Phone (678) 817-6991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000441405K | Medicaid | GA | |
| 000441405H | Medicaid | GA |
Other names 1
- Dr. Gordon Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Un of California, Irvine, College of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
155 Carnegie PL
Suite 101
Fayetteville, GA 30214-3981
Phone (678) 952-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Multi Specialty Group | Past | Accepting new patients |
Interoperability endpoints
- haiba.sonyika.1@5624.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Obstetrics Physician
- Fayetteville, GA
- NPI 1265670665
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1144327461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404172800000",
"number": "1083779391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CARNEGIE PL",
"address_2": "SUITE 203",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143981",
"telephone_number": "678-817-6991",
"fax_number": "678-817-6992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 CARNEGIE PL",
"address_2": "SUITE 203",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143981",
"telephone_number": "678-817-6991",
"fax_number": "678-817-6992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONYIKA",
"first_name": "HAIBA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2014-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "033713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000441405K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000441405H",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GORDON",
"last_name": "THOMAS",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fayetteville, GA
- Somatic Integrative Therapy
- Somnolife, LLC
- Christine Son, MD
- Sonny Grove Consulting LLC (Success on the Spectrum - Fayetteville)
- Chionesu Sonyika, MD
- Lourdes Soriano, SLP
- Source Medical Supplies
- South & East Medical Transport Group
- South Atlanta Ear Nose & Throat, PC
- South Atlanta Integrative Medicine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.
- 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.