Richard D Hayes Jr., MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

10611 Issued in WV

Practice address

312 6TH Ave
Suite 3
South Charleston, WV 25303-1265

Phone

(304) 744-4532

Fax

(304) 744-3219

NPI assigned

May 1, 2006

Last updated

Dec 15, 2022By 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

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• South Charleston Primary Care

  • Family Medicine Physician
  • South Charleston, WV
  • NPI 1689758476
  NPD

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1568420586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 6TH AVE STE 3",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031265",
            "telephone_number": "304-744-4532",
            "fax_number": "304-744-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 6TH AVE",
            "address_2": "SUITE 3",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031265",
            "telephone_number": "304-744-4532",
            "fax_number": "304-744-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "RICHARD",
        "middle_name": "D",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "10611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hawkins
• Shevron Lee Hawkins
• Jaime T Hayes, MD
• Jennifer Hayes
• Michelle Hayes
• Amber Haynes
• Christy Lynn Haynes, LICSW
• Ena Haynes
• Jessica Haynes
• Jordan Haynes, RPH

• Family Medicine Physician in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.