Individual provider Active NPI

Raleigh Rogers Haynes, M.D.

  • Anesthesiology Physician
  • Tifton, GA
National Provider Identifier
1477555183
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23171 Issued in GA
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

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00232405BMedicaidGA
00232405AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000257 GA Practitioner - AnesthesiologyPractitioner - Pain Management 5597662619 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23171GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System, Inc. CurrentSince Aug 1, 2019 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 PastSince Dec 1, 1981 Accepting new patients
Tifton Pain Management, P.C. Anesthesiology PastSince Dec 1, 1981 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.

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

Verify at the official NPI Registry.