Active NPI
James Clifton Haynes, M.D.
- Trauma Surgery Physician
- Roswell, GA
National Provider Identifier
1427377043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 077020
- Practice address
- 2500 Hospital Blvd Ste 290
Roswell, GA 30076-4918 - Phone
- (470) 956-4560
- Fax
- (770) 475-8968
- NPI assigned
- May 21, 2010
- 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 |
|---|---|---|---|---|
| Trauma Surgery Physician | 2086S0127X | 077020 | GA | Primary |
Addresses
Primary practice location
2500 Hospital Blvd Ste 290
Roswell, GA 30076-4918
Mailing address
2500 Hospital Blvd Ste 290
Roswell, GA 30076-4918
Phone (470) 956-4560
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhaynes130779@directwellstar.org |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 077020 | GA | MD | Trauma Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1427377043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HOSPITAL BLVD STE 290",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764918",
"telephone_number": "470-956-4560",
"fax_number": "770-475-8968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HOSPITAL BLVD STE 290",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764918",
"telephone_number": "470-956-4560",
"fax_number": "770-475-8968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "JAMES",
"middle_name": "CLIFTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-21",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "GA",
"license": "077020",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhaynes130779@directwellstar.org",
"affiliation": "N",
"address_1": "2500 Hospital Blvd Ste 290",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300764918",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.