Individual provider Active NPI

Khadeja Haye

  • Obstetrics Physician
  • Atlanta, GA
National Provider Identifier
1427235597
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
000923 Issued in GA
Practice address
69 Jesse Hill Jr Dr
Atlanta, GA 30303
Phone
(404) 616-5423
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 000923 GA Primary

Addresses

Primary practice location

69 Jesse Hill Jr Dr
Atlanta, GA 30303

Mailing address

723 Celeste LN SW
Atlanta, GA 30331-8607

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000115 GA Practitioner - Obstetrics/Gynecology 5092874248 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000923GAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Piedmont PC CurrentSince Aug 10, 2012 Accepting new patients
DHP of Indiana, P.C. PastSince Aug 10, 2022 Accepting new patients
Delphi Healthcare Specialists of Georgia, LLC Past Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1427235597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 CELESTE LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 JESSE HILL JR DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-616-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYE",
        "first_name": "KHADEJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": "000923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.