Individual provider Active NPI

Jason Thadeous Hayes, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1265625289
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69293 Issued in GA
Practice address
4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Phone
(678) 395-7046
Fax
(844) 874-7569
NPI assigned
Aug 22, 2007
Last updated
Aug 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69293 GA Primary
Internal Medicine Physician 207R00000X MD.201342 LA
Internal Medicine Physician 207R00000X 61172 KY
Internal Medicine Physician 207R00000X M6181 TX
Internal Medicine Physician 207R00000X 42706 TN

Addresses

Primary practice location

4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714

Mailing address

6175 Hickory Flat Hwy Ste 110
Canton, GA 30115-7236
Phone (678) 395-7046

Other practice location 1

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 345-2700

Other practice location 2

3610 Piedmont Rd NE Ste 200
Atlanta, GA 30305-1406
Phone (678) 395-7046

Other identifiers 1

IdentifierTypeStateIssuer
11809713OtherGACAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131209000308 GA Practitioner - Internal Medicine 0749377851 Reassigns benefits to 2 organizations
I20200420000966 LA Practitioner - HospitalistPractitioner - Internal Medicine 0749377851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10105 Westside Pkwy
Suite 110
Alpharetta, GA 30009-8804
Phone (770) 878-1712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69293GAMDInternal Medicine Physician
61172KYMDInternal Medicine Physician
42706TNMDInternal Medicine Physician
M6181TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Concierge MD, LLC Internal Medicine CurrentSince Mar 8, 2018 Accepting new patients
Allatoona Physician Services PC CurrentSince Mar 21, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 1, 2022 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

10105 Westside Pkwy
Ste 110
Alpharetta, GA 30009
Phone (678) 395-7046

11770 Haynes Bridge Rd
Ste 205305
Alpharetta, GA 30009

4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (404) 554-2196

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17728/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.hayes.1@17728.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1265625289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 HICKORY FLAT HWY STE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157236",
            "telephone_number": "678-395-7046",
            "fax_number": "678-395-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395714",
            "telephone_number": "678-395-7046",
            "fax_number": "844-874-7569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-2072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3610 Piedmont Rd NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303051406",
            "country_code": "US",
            "telephone_number": "678-395-7046",
            "fax_number": "678-395-3486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JASON",
        "middle_name": "THADEOUS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "69293",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.201342",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "61172",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M6181",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "42706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11809713",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.