Marlana Hayes, NP-C
Individual provider Active NPI Nurse Practitioner · Tallapoosa, GA
NPI 1639712649 · NPPES record last updated Oct 30, 2025
Key facts
- NPI
- 1639712649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RNNP227300 (GA)
- Practice address
- 112 Head Ave
Tallapoosa, GA 30176-1219 - Phone
- (678) 573-8004
- Fax
- (470) 329-0422
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210405001094 | GA | Practitioner - Nurse Practitioner | 7315354628 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09190100 | GA | MD | Nurse Practitioner |
| RNNP227300 | GA | MD | Nurse Practitioner |
| 346267 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
865 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 733-6089
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F09190100 | GA | |
| Nurse Practitioner | 363L00000X | RNNP227300 | GA | Yes |
| Nurse Practitioner | 363L00000X | 346267 | NY |
Addresses
Primary practice location
112 Head Ave
Tallapoosa, GA 30176-1219
Mailing address
618 Thornton Rd Ste 3-297
Lithia Springs, GA 30122-1518
Phone (404) 692-3189
Other names
- Marlana Wise
Other providers in Tallapoosa, GA
- Meredith Leigh Farmer
- Cinnamon Finley
- Georgia CVS Pharmacy, L.L.C.
- Harry Mark Greene
- Monica Enperatris Grimaldo
- Gary I Hendricker
- Hidden Creek Recovery and Retreat
- Highland Rivers Community Service Board
- Amber Marie Kidd
- Amy Locklear
All providers in Tallapoosa, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.