Individual provider Active NPI

Sharon M Haynes, MD

  • Family Medicine Physician
  • Rainbow City, AL
National Provider Identifier
1467413013
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD20723 Issued in AL
Practice address
3212 Rainbow Dr
Rainbow City, AL 35906-5805
Phone
(256) 442-7683
Fax
(256) 442-8357
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 028818 GA
Family Medicine Physician 207Q00000X MD20723 AL Primary

Addresses

Primary practice location

3212 Rainbow Dr
Rainbow City, AL 35906-5805

Mailing address

3212 Rainbow Dr
Rainbow City, AL 35906-5805
Phone (256) 442-7683

Other identifiers 3

IdentifierTypeStateIssuer
PENDINGOtherALBCBS
PENDINGMedicaidAL
00375141HMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080516000144 GA Practitioner - Family Practice 5890864870 Reassigns benefits to 2 organizations
I20100128000612 AL Practitioner - Family Practice 5890864870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Immediate Care, LLCGroup PAC ID 6103114087, 46 clinicians

Practice addresses (Care Compare)

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
  • Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20723ALMDFamily Medicine Physician
28818GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Immediate Care, LLC CurrentSince Feb 14, 2020 Accepting new patients
Temple Medhealth CurrentSince Oct 1, 2020 Accepting new patients
Temple Medical LLC Family Medicine CurrentSince Oct 1, 2020 Accepting new patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Apr 3, 2017 Accepting new patients
Gadsden Regional Physician Group Practice LLC Family Medicine CurrentSince Jan 15, 2010 Accepting new patients
Georgia Em-I Medical Services, LLC Past Accepting new patients

Locations

4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

150 Tompkins St
Heflin, AL 36264
Phone (256) 463-2390

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

9390 The Landing Dr
Douglasville, GA 30135
Phone (770) 947-1112

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

1495 Lafayette Pkwy
Lagrange, GA 30241
Phone (706) 883-7322

503 Main St
Villa Rica, GA 30180
Phone (770) 462-1170

Interoperability endpoints

  • Direct secure messaging: sharon.haynes.p2@direct.alegiscare.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/26671/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sharon.haynes.p1@direct.alegiscare.nextgenshare.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1467413013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065805",
            "telephone_number": "256-442-7683",
            "fax_number": "256-442-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 RAINBOW DR",
            "city": "RAINBOW CITY",
            "state": "AL",
            "postal_code": "359065805",
            "telephone_number": "256-442-7683",
            "fax_number": "256-442-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SHARON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "028818",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD20723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "PENDING",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00375141H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rainbow City, AL

Sources for this page

Verify at the official NPI Registry.