Individual provider Active NPI

Rebekah Lee Hayes, NP

  • Adult Health Nurse Practitioner
  • Covington, GA
National Provider Identifier
1609318393
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN262600 Issued in GA
Practice address
4142 Mill St NE
Covington, GA 30014-2540
Phone
(770) 225-0098
Fax
(770) 787-2304
NPI assigned
Nov 10, 2016
Last updated
Jan 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN262600 GA
Adult Health Nurse Practitioner 363LA2200X RN262600 GA Primary
Gerontology Nurse Practitioner 363LG0600X RN262600 GA
Primary Care Nurse Practitioner 363LP2300X RN262600 GA

Addresses

Primary practice location

4142 Mill St NE
Covington, GA 30014-2540

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

Other names 1

  • Ms. Rebekah Lee Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170104000408 GA Practitioner - Nurse Practitioner 4284915372 Reassigns benefits to 1 organization
I20210427002141 TN Practitioner - Nurse Practitioner 4284915372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassionate Health Associates PLLCGroup PAC ID 4183887011, 9 clinicians

Practice addresses (Care Compare)

211 Cool Springs Blvd
Franklin, TN 37067-7242
Phone (615) 778-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN262600GAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Health Associates, PLLC CurrentSince Jan 12, 2021 Accepting new patients
Hanowell Spine Clinic LLC CurrentSince Nov 19, 2016 Accepting new patients

Locations

4142 Mill St NE
Covington, GA 30014
Phone (770) 787-3550

211 Cool Springs Blvd
Franklin, TN 37067
Phone (615) 778-6800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEEAD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1609318393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 MILL ST NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142540",
            "telephone_number": "770-225-0098",
            "fax_number": "770-787-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "REBEKAH",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN262600",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN262600",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN262600",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN262600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBEKAH",
            "last_name": "BENNETT",
            "middle_name": "LEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.