Active NPI
Michael Steward Haynes, M.D.
- Pulmonary Disease Physician
- Augusta, GA
National Provider Identifier
1619992849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 020544
- Practice address
- 1301 Broad St
Augusta, GA 30901-1055 - Phone
- (706) 922-5864
- Fax
- (706) 922-5819
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 020544 | GA | Primary |
Addresses
Primary practice location
1301 Broad St
Augusta, GA 30901-1055
Mailing address
1301 Broad St
Augusta, GA 30901-1055
Phone (706) 922-5864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000191782F | Medicaid | GA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020544 | GA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1619992849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 BROAD ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309011055",
"telephone_number": "706-922-5864",
"fax_number": "706-922-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BROAD ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309011055",
"telephone_number": "706-922-5864",
"fax_number": "706-922-5819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "MICHAEL",
"middle_name": "STEWARD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "GA",
"license": "020544",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000191782F",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.