Individual provider Active NPI

Patricia A Haywood, O.D.

  • Optometrist
  • Lawrenceville, GA
National Provider Identifier
1447201124
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001329 Issued in GA
Practice address
757 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone
(678) 442-1161
Fax
(678) 442-9967
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001329 GA Primary

Addresses

Primary practice location

757 Old Norcross Rd
Lawrenceville, GA 30046-4317

Mailing address

757 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone (678) 442-1161

Other names 1

  • Patricia A Hayes Former name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060606000017 GA Practitioner - Optometry 2365453412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark G. Haywood, MD, LLCGroup PAC ID 4587696034, 2 clinicians

Practice addresses (Care Compare)

757 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone (678) 442-1161

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
88.01
Improvement activities
40
Cost
71.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT001329GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark G. Haywood, MD, LLC CurrentSince Apr 1, 2006 Accepting new patients

Locations

757 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 442-1161

Organizations & group practices 1

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389139200000",
    "number": "1447201124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464317",
            "telephone_number": "678-442-1161",
            "fax_number": "678-442-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464317",
            "telephone_number": "678-442-1161",
            "fax_number": "678-442-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYWOOD",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2014-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HAYES",
            "middle_name": "A",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.