Individual provider Active NPI

Edward Wayne Haga, M.D.

  • Family Medicine Physician
  • Jacksonville, NC
National Provider Identifier
1245295195
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-02223 Issued in NC
Practice address
1899 N Marine Blvd
Jacksonville, NC 28546-6534
Phone
(910) 937-7200
Fax
(910) 937-7061
NPI assigned
Apr 20, 2006
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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 2016-02223 NC Primary

Addresses

Primary practice location

1899 N Marine Blvd
Jacksonville, NC 28546-6534

Mailing address

1616 E Millbrook Rd Ste 110
Raleigh, NC 27609-4971
Phone (910) 937-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170209002063 NC Practitioner - Family Practice 7719015437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

1899 N Marine Blvd
Jacksonville, NC 28546-6555
Phone (910) 378-7718

2303 Wellington Dr SW
Wilson, NC 27893-8620
Phone (252) 243-6818

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Immediate Care & Family Practice, PA Family Medicine CurrentSince Dec 14, 2016 Accepting new patients
E Wayne Haga MD Family Practice PC Family Medicine CurrentSince Oct 5, 2010 Accepting new patients
Med First Immediate Care & Family Practice, PA Family Medicine Past Accepting new patients
Med First Immediate Care & Family Practice, PA Family Medicine Past Accepting new patients
Med First Immediate Care & Family Practice PA Family Medicine Past Accepting new patients
Med First Immediate Care & Family Practice, PA Family Medicine Past Accepting new patients

Locations (25 of 29)

211 Bonnie Brook Rd
Aberdeen, NC 28315
Phone (910) 716-0099

929 N 2nd St
Ste 201
Albemarle, NC 28001
Phone (704) 983-2700

1728 Fordham Blvd
Ste 151
Chapel Hill, NC 27514
Phone (919) 829-0076

1800 E Franklin St
Ste 11A
Chapel Hill, NC 27514
Phone (919) 968-1985

7901 Emerald Dr
Ste 7
Emerald Isle, NC 28594
Phone (252) 354-6500

4002 Elton Way
Ste 104
Greensboro, NC 27406
Phone (336) 467-7501

94 Merchants Cir
Ste 100
Hampstead, NC 28443
Phone (910) 270-2515

1899 N Marine Blvd
Jacksonville, NC 28546
Phone (910) 347-1515

308 Dolphin Dr
Jacksonville, NC 28546
Phone (910) 346-2273

325 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-1555

609 Richlands Hwy
Ste 6
Jacksonville, NC 28540
Phone (910) 455-7888

275 NC 24 50 Hwy
Kenansville, NC 28349
Phone (910) 296-1087

100 S 10th St
Lillington, NC 27546
Phone (910) 893-4111

304 S Green St
Morganton, NC 28655
Phone (828) 430-9004

2002 S Glenburnie Rd
New Bern, NC 28562
Phone (252) 633-5188

2020 Waterscape Way
New Bern, NC 28562
Phone (252) 531-5301

1616 E Millbrook Rd
Ste 110
Raleigh, NC 27609
Phone (919) 341-4016

3396 Six Forks Rd
Raleigh, NC 27609
Phone (919) 781-8897

4450 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 572-3154

154 Beulaville Hwy
Richlands, NC 28574
Phone (910) 324-9935

130 Cardinal Dr
Roanoke Rapids, NC 27870
Phone (252) 308-0686

107 Weeks Dr
Roxboro, NC 27573
Phone (336) 598-5480

388 Venture Dr
Smithfield, NC 27577
Phone (919) 938-0811

200 Cape Fear Cir
Ste 1
Sneads Ferry, NC 28460
Phone (910) 327-2277

349 Brookdale Dr
Statesville, NC 28677
Phone (704) 878-2058

Interoperability endpoints

  • Direct secure messaging: edward.haga.1@1905.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3756/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1245295195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E MILLBROOK RD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094971",
            "telephone_number": "910-937-7200",
            "fax_number": "910-937-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 N MARINE BLVD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466534",
            "telephone_number": "910-937-7200",
            "fax_number": "910-937-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGA",
        "first_name": "EDWARD",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-02223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.