Charles Douglas Haney, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13533 Issued in TN

Practice address

215 S Cedar LN
Pulaski, TN 38478-3502

Phone

(931) 363-2511

Fax

(931) 424-6109

NPI assigned

Nov 7, 2005

Last updated

Jun 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Family Practice

Education

University of Tennessee, HSC, College of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians and Surgeons IncGroup PAC ID 6305859935, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Tennessee Regional Health System Pulaski Hospital, Pulaski, TN, CCN 440020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Physicians & Surgeons, Inc.

  • Family Medicine Physician
  • Pulaski, TN
  • NPI 1063451466
  Medicare reassignment Care Compare group NPD Authorized official

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

• Hillside Hospital LLC

  dba Southern Tennessee Regional Health System Pulaski

  • Rural Acute Care Hospital
  • Pulaski, TN
  • NPI 1841388519
  Care Compare affiliation

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1285615385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S CEDAR LN",
            "address_2": "P.O. BOX 577",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783502",
            "telephone_number": "931-363-2511",
            "fax_number": "931-424-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S CEDAR LN",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783502",
            "telephone_number": "931-363-2511",
            "fax_number": "931-424-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "CHARLES",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "13533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3189955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce M Green, RN
• Rodrick R Gregory, MD PC
• Hal Medical O&P Tennessee, LLC
• Joyce A Hamilton
• Stephanie L Hamrick, PMHNP
• Melody Hatfield, APN
• Bethany M Hawk
• Louise A Hawkins, NP
• Shannon M Heard, N.P.
• Macy Grace Helm

• Family Medicine Physician in Pulaski, TN
• Providers in Pulaski, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.