Organization Active NPI

G. Stephen Hayes, MD, PC

Doing business as Valley Pediatrics

  • Clinic/Center
  • Jasper, TN
National Provider Identifier
1124256078
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD18240 Issued in TN
Legal business name
G. STEPHEN HAYES, MD, PC
Doing business as
Valley Pediatrics
Practice address
4896 Main St
Jasper, TN 37347-3681
Phone
(423) 942-3756
Fax
(423) 942-7358
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Gary Stephen Hayes, MDNPI 1043203326
Title
President
Phone
(423) 942-3756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD18240 TN Primary

Addresses

Primary practice location

4896 Main St
Jasper, TN 37347-3681

Mailing address

4896 Main St
Jasper, TN 37347-3681
Phone (423) 942-3756

Other identifiers 2

IdentifierTypeStateIssuer
8705050MedicaidAL
3027961MedicaidTN

Other names 1

  • Valley Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

4896 Main St
Jasper, TN 37347
Phone (423) 942-3756

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1124256078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 MAIN ST",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473681",
            "telephone_number": "423-942-3756",
            "fax_number": "423-942-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4896 MAIN ST",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373473681",
            "telephone_number": "423-942-3756",
            "fax_number": "423-942-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. STEPHEN HAYES, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-942-3756",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "MD18240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8705050",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3027961",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jasper, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.