Rebecca Haynes, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APRN-NP209240 Issued in GA

Practice address

80 Parker Dr
Monroe, GA 30656-4747

Phone

(678) 381-2630

Fax

(678) 381-2627

NPI assigned

Jun 12, 2017

Last updated

Nov 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Ellenberger Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.haynes.1@28046.direct.athenahealth.com

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.

• Grayson Pediatrics, LLC

  • Pediatrics Physician
  • Grayson, GA
  • NPI 1083026066
  NPD
• Grayson Pediatrics, LLC

  • Pediatrics Physician
  • Loganville, GA
  • NPI 1831500370
  NPD

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793836800000",
    "number": "1629508783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 COOPER RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522518",
            "telephone_number": "783-812-6306",
            "fax_number": "678-381-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PARKER DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564747",
            "telephone_number": "678-381-2630",
            "fax_number": "678-381-2627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 Cooper Rd",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522518",
            "country_code": "US",
            "telephone_number": "678-381-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "REBECCA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2026-11-05",
        "certification_date": "2026-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "APRN-NP209240",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "209240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.haynes.1@28046.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Grayson Pediatrics, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "297 Cooper Rd",
            "city": "Loganville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300522518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "ELLENBERGER",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Tolmich Haughey, LPC, ICAADC, CPCS,
• Sandra Harrison Haupt, NP-C
• Sherie Teresa Hawkins, LPC
• Joseph Michael Hayek, M.D.
• George David Hayes, CAC II
• Head to Toe Research & Wellness, LLC
• Ashley Ruth Head, FNP
• Healthy Home Transitions
• Hearing Improvement Center of Monroe, LLC
• Sarah Heffernan, PNP-PC

• Pediatric Nurse Practitioner in Monroe, GA
• Providers in Monroe, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; 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.