Active NPI
Kenyetta Tremese Hayes, MSW, ST
- Contractor
- Hahira, GA
National Provider Identifier
1154898674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 103 S West St Apt a
Hahira, GA 31632-1701 - Phone
- (229) 821-6000
- NPI assigned
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | GA | Primary |
Addresses
Primary practice location
103 S West St Apt a
Hahira, GA 31632-1701
Mailing address
103 S West St Apt a
Hahira, GA 31632-1701
Phone (229) 821-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1154898674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S WEST ST APT A",
"city": "HAHIRA",
"state": "GA",
"postal_code": "316321701",
"telephone_number": "229-821-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 S WEST ST APT A",
"city": "HAHIRA",
"state": "GA",
"postal_code": "316321701",
"telephone_number": "229-821-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "KENYETTA",
"middle_name": "TREMESE",
"name_prefix": "Ms.",
"credential": "MSW, ST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hahira, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.