Philip Authur Haynes, L.G.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1441G Issued in AL

Practice address

901 Goodyear Ave
Gadsden, AL 35903-1106

Phone

(256) 494-5499

Fax

(256) 494-5511

NPI assigned

Oct 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Russellville Hospital Inc

  dba Russellville Hospital Medical Clinic

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1780232314
  Medicare reassignment NPD
• Russellville Hospital Inc

  dba Russellville Hospital Family Care First Clinic

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1508491093
  NPD
• Etowah Dekalb Cherokee Mental Health Board, Inc

  dba CED Mental Health Center

  • Community/Behavioral Health Agency
  • Attalla, AL
  • NPI 1326175795
  NPD (past)
• Iop Behavioral Health, LLC

  • Adult Mental Health Clinic/Center
  • Madison, AL
  • NPI 1164202420
  NPD (past)

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192752000000",
    "number": "1083803654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031106",
            "telephone_number": "256-494-5499",
            "fax_number": "256-494-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031106",
            "telephone_number": "256-494-5499",
            "fax_number": "256-494-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "PHILIP",
        "middle_name": "AUTHUR",
        "name_prefix": "Mr.",
        "credential": "L.G.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "1441G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Harvey, PHARMD
• Brian Wesley Haskins, D.P.T.
• Linda Havas, RPT
• John Randolph Hawkins, D.M.D.,P.A.
• Frances Martin Hayes Jr., M.D.
• George Bruce Head III, MD
• Healing Hearts Home Care
• Healing Season Counseling LLC
• Healthstat Onsite Clinic Goodyear Gadsden
• Heart of Rainbows LLC

• Clinical Social Worker in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.