Individual provider Active NPI

Haley Thomas

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1386278307
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN215969 Issued in GA
Practice address
1062 Forsyth St Ste 1B
Macon, GA 31201-8638
Phone
(478) 741-1208
NPI assigned
Feb 28, 2020
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN215969 GA Primary
Registered Nurse 163W00000X RN215969 GA

Addresses

Primary practice location

1062 Forsyth St Ste 1B
Macon, GA 31201-8638

Mailing address

1062 Forsyth St Ste 1B
Macon, GA 31201-8638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210928001593 GA Practitioner - Nurse Practitioner 4183021561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Georgia Heart Center, PCGroup PAC ID 0446248736, 27 clinicians

Practice addresses (Care Compare)

1062 Forsyth St
Suite 1B
Macon, GA 31201-8638
Phone (478) 741-1208

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN215969GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Heart Center, PC CurrentSince Sep 21, 2021 Accepting new patients
Central Georgia Heart Center, PC CurrentSince Sep 21, 2021 Accepting new patients

Locations

1000 Hillcrest Pkwy
Dublin, GA 31021
Phone (478) 241-0241

120 N Lee St
Ste C
Forsyth, GA 31029
Phone (478) 633-1821

222 Perry Hwy
Bldg B
Hawkinsville, GA 31036
Phone (478) 783-3025

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (912) 743-7068

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

502 Sumter St
Montezuma, GA 31063
Phone (478) 472-3100

615 S Center St
Thomaston, GA 30286
Phone (706) 647-2147

304 Margie Dr
Warner Robins, GA 31088
Phone (478) 971-2186

Interoperability endpoints

  • Direct secure messaging: haley.thomas@cghc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD

Organizations & group practices 2

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1386278307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "478-741-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HALEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN215969",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN215969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.