Active NPI
Raleigh Rogers Haynes, M.D.
- Anesthesiology Physician
- Tifton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 23171
- Practice address
- 2227 US Highway 41 N
Tifton, GA 31794-2749 - Phone
- (229) 386-4200
- NPI assigned
- Aug 12, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 23171 | GA | Primary |
Addresses
Primary practice location
2227 US Highway 41 N
Tifton, GA 31794-2749
Mailing address
907 18TH St E Ste 400
Tifton, GA 31794-3684
Phone (229) 353-3422
Other practice location 1
1602 Madison Ave
Tifton, GA 31794-3756
Phone (229) 388-1378
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00232405B | Medicaid | GA | |
| 00232405A | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | raleigh.haynes@trhs.cernerdirect.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100726000257 | GA | Practitioner - Anesthesiology | 5597662619 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23171 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tift Regional Health System, Inc. | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Tifton Anesthesia Associates, P.C. | Anesthesiology | Past | Accepting new patients |
| Tifton Pain Management, P.C. | Anesthesiology | Past | Accepting new patients |
Locations
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
907 18th St E
Ste 400
Tifton, GA 31794
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1602 Madison Ave
Tifton, GA 31794
Phone (229) 386-4200
907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422
Organizations & group practices 5
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.
-
- Ophthalmology Physician
- Tifton, GA
- NPI 1790280857
-
- Rural Health Clinic/Center
- Adel, GA
- NPI 1871816918
-
- Anesthesiology Physician
- Tifton, GA
- NPI 1710964614
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Tifton, GA
- NPI 1467439364
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1477555183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "907 18TH ST E STE 400",
"city": "TIFTON",
"state": "GA",
"postal_code": "317943684",
"telephone_number": "229-353-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2227 US HIGHWAY 41 N",
"city": "TIFTON",
"state": "GA",
"postal_code": "317942749",
"telephone_number": "229-386-4200"
}
],
"practiceLocations": [
{
"address_1": "1602 Madison Ave",
"address_purpose": "LOCATION",
"city": "Tifton",
"state": "GA",
"postal_code": "317943756",
"country_code": "US",
"telephone_number": "229-388-1378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNES",
"first_name": "RALEIGH",
"middle_name": "ROGERS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "23171",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00232405B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00232405A",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "raleigh.haynes@trhs.cernerdirect.com",
"affiliation": "N",
"address_1": "2227 US Highway 41 N",
"city": "Tifton",
"state": "GA",
"country_code": "US",
"postal_code": "317942749",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tifton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.