Individual provider Active NPI

Haiba Sonyika, M.D.

  • Specialist
  • Fayetteville, GA
National Provider Identifier
1083779391
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
033713 Issued in GA
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000441405KMedicaidGA
000441405HMedicaidGA

Other names 1

  • Dr. Gordon Thomas Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050103000402 GA Practitioner - Obstetrics/Gynecology 2365400660 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Atlanta Multi Specialty Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.