Individual provider Active NPI

Mary Anna Hakes, PA-C

  • Physician Assistant
  • Calhoun, GA
National Provider Identifier
1295639813
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1230695 Issued in GA
Practice address
400 Timms Rd NE
Calhoun, GA 30701-7016
Phone
(706) 625-0022
Fax
(706) 625-8586
NPI assigned
Oct 6, 2026
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1230695 GA Primary

Addresses

Primary practice location

400 Timms Rd NE
Calhoun, GA 30701-7016

Mailing address

N12853 Lenca Lane F-1
Carney, MI 49812-9463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1295639813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N12853 LENCA LANE F-1",
            "city": "CARNEY",
            "state": "MI",
            "postal_code": "498129463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TIMMS RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307017016",
            "telephone_number": "706-625-0022",
            "fax_number": "706-625-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKES",
        "first_name": "MARY",
        "middle_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "1230695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.