Mark G. Haywood, MD, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

035898 Issued in GA

Legal business name

MARK G. HAYWOOD, MD, LLC

Practice address

721 Wellness Way
Ste 210
Lawrenceville, GA 30045-3304

Phone

(678) 442-1161

Fax

(678) 442-9967

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patricia A HaywoodNPI 1447201124

Title

Practice Administrator

Phone

(678) 442-1161

Specialties & licenses 1

Addresses

Other names 1

• HAYWOOD EYE AND VISION CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia A Haywood, O.D.

  • Optometrist
  • Lawrenceville, GA
  • NPI 1447201124
  Medicare reassignment Care Compare group NPD Authorized official
• Mark G Haywood, M.D.

  • Ophthalmology Physician
  • Lawrenceville, GA
  • NPI 1205887239
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1154371706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453304",
            "telephone_number": "678-442-1161",
            "fax_number": "678-442-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WELLNESS WAY",
            "address_2": "STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453304",
            "telephone_number": "678-442-1161",
            "fax_number": "678-442-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. HAYWOOD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "678-442-1161",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "035898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAYWOOD EYE AND VISION CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judnel Marcius
• Clifford Solomon Marcus, MED
• Margaret Y. Chang, MD LLC
• Nancy E Marin
• Mark E. James, M.D., Inc.
• Sofia Grace Marks, MS, APC, NCC
• Jennifer Marlowe, M.ED., CCC-SLP
• Natalia E. Marquis
• Gabriel Marrero, MD
• Lisa D Marrero, PAAA

• Ophthalmology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.