NPIMap

Individual provider Active NPI

William Mark Haynes, M.D.

  • Family Medicine Physician
  • Homer, LA
National Provider Identifier
1184735151
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017831 Issued in LA
Practice address
912 W Main St
Homer, LA 71040-3328
Phone
(318) 927-3571
Fax
(318) 927-2677
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017831 LA Primary

Addresses

Primary practice location

912 W Main St
Homer, LA 71040-3328

Mailing address

PO Box 29
Homer, LA 71040-0029
Phone (318) 927-3571

Other identifiers 1

IdentifierTypeStateIssuer
1347086MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100301000012 LA Practitioner - Family Practice 3072603570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

912 W Main St
Homer, LA 71040-3328
Phone (318) 927-3571

Hospital & facility affiliations

  • Claiborne Home Health Home health agency, Homer, LA, CCN 197259
  • Elara Caring Home health agency, Ruston, LA, CCN 197222
  • Louisiana Homecare/ Springhill Home health agency, Springhill, LA, CCN 197776
  • Passages Hospice Hospice, Minden, LA, CCN 191535
  • Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114
  • Minden Medical Center Hospital, Minden, LA, CCN 190144
  • Presbyterian Village Of Homer Nursing home, Homer, LA, CCN 195579

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
91.31
Promoting interoperability
95
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital CurrentSince Dec 1, 1991 Accepting new patients
Homer Memorial Hospital CurrentSince Dec 1, 1991 Accepting new patients
Presbyterian Village of Homer Past Accepting new patients
Homer Memorial Hospital Past Accepting new patients

Locations

912 W Main St
Homer, LA 71040
Phone (318) 927-2024

620 E College St
Homer, LA 71040
Phone (318) 927-2024

Interoperability endpoints

  • Direct secure messaging: wmhaynes@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Claiborne Memorial Medical CenterHomer, LA, CCN 190114 Hospital Operational/Managerial Control (11.11%) Sep 10, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1184735151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710400029",
            "telephone_number": "318-927-3571",
            "fax_number": "318-927-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 W MAIN ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403328",
            "telephone_number": "318-927-3571",
            "fax_number": "318-927-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1347086",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, LA

Sources for this page

Verify at the official NPI Registry.