NPIMap

Organization Active NPI

Gregory D. Haynes, MD P.C.

  • Gastroenterology Physician
  • Lenoir, NC
National Provider Identifier
1134327141
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2008-00455 Issued in NC
Legal business name
GREGORY D. HAYNES, MD P.C.
Practice address
401 Mulberry St SW
Suite 206
Lenoir, NC 28645-5463
Phone
(828) 572-1770
Fax
(828) 572-1763
NPI assigned
Jul 11, 2007
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Gregory D Haynes, M.D.NPI 1144330747
Title
President
Phone
(828) 572-1770

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 2008-00455 NC Primary

Addresses

Primary practice location

401 Mulberry St SW
Suite 206
Lenoir, NC 28645-5463

Mailing address

401 Mulberry St SW
Suite 206
Lenoir, NC 28645-5463
Phone (828) 572-1770

Other identifiers 2

IdentifierTypeStateIssuer
2628362MedicaidMI
5909243MedicaidNC

National Provider Directory

National Provider Directory

Locations

15201 Southfield Rd
Allen Park, MI 48101
Phone (313) 294-9017

639 Pennton Ave SW
Lenoir, NC 28645
Phone (828) 572-1770

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1134327141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW",
            "address_2": "SUITE 206",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-572-1770",
            "fax_number": "828-572-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW",
            "address_2": "SUITE 206",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-572-1770",
            "fax_number": "828-572-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY D. HAYNES, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-572-1770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2008-00455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2628362",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909243",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.