Active NPI
Dianne Haynes, M.D.
- Obstetrics & Gynecology Physician
- Bel Air, MD
National Provider Identifier
1619954146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0082122
- Practice address
- 510 Upper Chesapeake Dr
S#518
Bel Air, MD 21014-4328 - Phone
- (443) 643-4530
- Fax
- (443) 643-4535
- NPI assigned
- Dec 27, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 231012 | NY | |
| Obstetrics & Gynecology Physician | 207V00000X | D0082122 | MD | Primary |
Addresses
Primary practice location
510 Upper Chesapeake Dr
S#518
Bel Air, MD 21014-4328
Mailing address
510 Upper Chesapeake Dr
S#518
Bel Air, MD 21014-4328
Phone (443) 643-4530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0082122 | MD | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Womens Care, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Georgia, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| West Georgia Medical Center, Inc. | Past | Accepting new patients |
Locations
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369
510 Upper Chesapeake Dr
Ste 518
Bel Air, MD 21014
Phone (443) 643-4530
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Bel Air, MD
- NPI 1275843013
-
- Obstetrics & Gynecology Physician
- Athens, GA
- NPI 1750686838
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1619954146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 UPPER CHESAPEAKE DR",
"address_2": "S#518",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144328",
"telephone_number": "443-643-4530",
"fax_number": "443-643-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 UPPER CHESAPEAKE DR",
"address_2": "S#518",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210144328",
"telephone_number": "443-643-4530",
"fax_number": "443-643-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "DIANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "231012",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0082122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.