Kwanna Vernita Hayes, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200S01946 Issued in NC

Practice address

5454 Yorktowne Dr
Southern Crescent Behavioral Health System
Atlanta, GA 30349-5317

Phone

(678) 251-3202

Fax

(770) 997-2757

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kwanna Vernita Hayes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Destiny Counseling Connection PLLC

  • Professional Counselor
  • Garner, NC
  • NPI 1174766554
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1487768404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "address_2": "SOUTHERN CRESCENT BEHAVIORAL HEALTH SYSTEM",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "678-251-3202",
            "fax_number": "770-997-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 YORKTOWNE DR",
            "address_2": "SOUTHERN CRESCENT BEHAVIORAL HEALTH SYSTEM",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303495317",
            "telephone_number": "678-251-3202",
            "fax_number": "770-997-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KWANNA",
        "middle_name": "VERNITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200S01946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903282",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KWANNA",
            "last_name": "HAYES",
            "middle_name": "VERNITA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dakota Hayes
• Dolphurs Hayes
• Hannah Anders Hayes, CPNP
• Jason Thadeous Hayes, M.D.
• Kimberly Hayes
• Laura L Hayes, MD
• Lindsay P Hayes, RBT
• Rebecca Lee Hayes, APRN, AGACNP-BC
• Ronald O Hayes, CNA, BLS CERTIFIED
• Shajuana Hayes

• All providers in Atlanta, GA
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.