Jared Michael Haley, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5008

Practice address

403 Woodchase Way
Woodstock, GA 30188-2052

Phone

(678) 956-1272

NPI assigned

Mar 28, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1619438991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WOODCHASE WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882052",
            "telephone_number": "678-956-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WOODCHASE WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882052",
            "telephone_number": "678-956-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JARED",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "5008",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "5008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yohannes Haile, PHARMD
• David Haithcock, D.M.D.
• Hale Healthcare, LLC
• Elliott Marie Hale, D.C.
• James Patrick Haley, M.D.
• Brenda Norton Hall, LPC
• Samuel Ross Hall, P.T.
• Christina Grace Hamby
• Christina Marie Hamilton, FNP-C
• Lauren S. Hamrick, L.P.C., R.P.T.

• Surgical Physician Assistant in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.