Active NPI
Deonna Nicole Hayes, PT, DPT
- Physical Therapist
- Fairburn, GA
National Provider Identifier
1558723643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012739
- Practice address
- 120 Nemoura CT
Fairburn, GA 30213-6508 - Phone
- (404) 441-2933
- Fax
- (678) 884-6652
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1268549 | TX | |
| Physical Therapist | 225100000X | PT012739 | GA | Primary |
Addresses
Primary practice location
120 Nemoura CT
Fairburn, GA 30213-6508
Mailing address
120 Nemoura CT
Fairburn, GA 30213-6508
Phone (404) 441-2933
Other practice location 1
6600 Van Aalst Boulevard
Fort Benning, GA 31905
Phone (706) 545-3835
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1268549 | TX | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608163200000",
"number": "1558723643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 NEMOURA CT",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136508",
"telephone_number": "404-441-2933",
"fax_number": "678-884-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 NEMOURA CT",
"city": "FAIRBURN",
"state": "GA",
"postal_code": "302136508",
"telephone_number": "404-441-2933",
"fax_number": "678-884-6652"
}
],
"practiceLocations": [
{
"address_1": "6600 Van Aalst Boulevard",
"address_purpose": "LOCATION",
"city": "Fort Benning",
"state": "GA",
"postal_code": "31905",
"country_code": "US",
"telephone_number": "706-545-3835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "DEONNA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2020-12-17",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1268549",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.