Michealle Ann Haynes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103001 Issued in NC

Practice address

1405 West Boulevard
Laurinburg, NC 28352

Phone

(910) 277-2440

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Scotland County

  • State or Local Public Health Clinic/Center
  • Laurinburg, NC
  • NPI 1427188176
  NPD (past)
• Scotland County

  • State or Local Public Health Clinic/Center
  • Laurinburg, NC
  • NPI 1861529653
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345075200000",
    "number": "1508914219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WEST BOULEVARD",
            "address_2": "PO BOX 69",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WEST BOULEVARD",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352",
            "telephone_number": "910-277-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MICHEALLE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2012-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Harris
• Kristen Harte, NP-C
• Harvey Kohn, MD, PLLC
• William G Hatchell, PT
• Carol Hayes, P.A.-C
• Lindsay Brock Haywood, LCSW
• Healing Hands Personal Care Services LLC
• Health Innovations of Laurinburg, Inc.
• Health Innovations Pharmacy of Laurinburg Inc
• Heavens Anointed Touch Home Care LLC

• Physician Assistant in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.