Active NPI
Daniel Haynia, APRN
- Adult Health Nurse Practitioner
- Augusta, GA
National Provider Identifier
1346714524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN247670
- Practice address
- 987 Saint Sebastian Way
Augusta, GA 30912-2613 - Phone
- (706) 721-7930
- Fax
- (706) 721-8206
- NPI assigned
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN247670 | GA | Primary |
Addresses
Primary practice location
987 Saint Sebastian Way
Augusta, GA 30912-2613
Mailing address
2820 Old Ninety Six Indian Trail
Wagener, SC 29164
Phone (631) 681-3962
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN247670 | GA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1346714524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 OLD NINETY SIX INDIAN TRAIL",
"city": "WAGENER",
"state": "SC",
"postal_code": "29164",
"telephone_number": "631-681-3962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "987 SAINT SEBASTIAN WAY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309122613",
"telephone_number": "706-721-7930",
"fax_number": "706-721-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNIA",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN247670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.