Active NPI
Jonathan David Haywood, M.D.
- Pediatric Critical Care Medicine Physician
- Fayetteville, NC
National Provider Identifier
1659698355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 2016-01274
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-5610
- NPI assigned
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2016-01274 | NC | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 2016-01274 | NC | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 2016-01274 | NC | Primary |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
PO Box 896263
Charlotte, NC 28289-6263
Phone (910) 615-6949
Other practice location 1
49 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3049
Phone (404) 778-1440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- jhaywood2753107@carolinashealthcaresystem.direct-ci.com
- jhaywood132126@capefearvalley.direct-ci.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Pediatrics Physician
- Fayetteville, NC
- NPI 1083002232
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1659698355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 896263",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282896263",
"telephone_number": "910-615-6949",
"fax_number": "910-615-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-5610"
}
],
"practiceLocations": [
{
"address_1": "49 Jesse Hill Jr Dr SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303033049",
"country_code": "US",
"telephone_number": "404-778-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYWOOD",
"first_name": "JONATHAN",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-21",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2016-01274",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "2016-01274",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "NC",
"license": "2016-01274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.