Active NPI
G. Stephen Hayes, MD, PC
Doing business as Valley Pediatrics
- Clinic/Center
- Jasper, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- MD18240
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Stephen Hayes, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8705050 | Medicaid | AL | |
| 3027961 | Medicaid | TN |
Other names 1
- Valley Pediatrics
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Jasper, TN
- NPI 1043203326
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.