Jonathan Haynes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007073 Issued in GA

Practice address

840 Pine St
Ste 500
Macon, GA 31201-2100

Phone

(478) 633-8682

Fax

(478) 633-8698

NPI assigned

Jan 15, 2014

Last updated

Jan 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Georiga Fertility Institute

  • Reproductive Endocrinology Physician
  • Macon, GA
  • NPI 1447390901
  NPD (past)

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1518389170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "STE 500",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-633-8682",
            "fax_number": "478-633-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 PINE ST",
            "address_2": "STE 500",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012100",
            "telephone_number": "478-633-8682",
            "fax_number": "478-633-8698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JONATHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "007073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LIC NUMBER",
            "identifier": "007073",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey M Haworth, NRP
• Hayes Therapy Corp
• Christopher Hayes, NP-C
• Rachel Hayes, M.ED.
• Piper Shea Haynam
• Susan L Haynes
• Ilona Hays, PA-C
• Dream Hayward-Thomas
• Siping He, M.D.
• Don S Heacock, M.D.

• Physician Assistant in Macon, GA
• Providers in Macon, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.