Individual provider Active NPI

Sheryl M Haynes, D.O.

  • General Practice Physician
  • Clearwater, FL
National Provider Identifier
1669564241
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS4234 Issued in FL
Practice address
26750 US Highway 19 N Ste 100
Clearwater, FL 33761-3404
Phone
(727) 726-1460
Fax
(727) 724-9705
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS4234 FL
General Practice Physician 208D00000X OS4234 FL Primary

Addresses

Primary practice location

26750 US Highway 19 N Ste 100
Clearwater, FL 33761-3404

Mailing address

26750 US Highway 19 N Ste 100
Clearwater, FL 33761-3404
Phone (727) 726-1460

Other identifiers 1

IdentifierTypeStateIssuer
065614300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200109001215 FL Practitioner - General PracticePractitioner - Physical Medicine and Rehabilitation 9234413733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Physical Medicine and Rehabilitation
Education
Oakland College of Medicine and Surgery, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Vitality Medical Group, LLCGroup PAC ID 6103887195, 6 clinicians

Practice addresses (Care Compare)

26750 US Hwy 19 N
Suite 100
Clearwater, FL 33761-3404
Phone (727) 726-1460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS4234FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Total Healthcare LLC CurrentSince Nov 1, 2019 Accepting new patients
Total Vitality Medical Group, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

667 W Lumsden Rd
Brandon, FL 33511
Phone (813) 867-7323

26750 US Highway 19 N
Ste 100
Clearwater, FL 33761
Phone (727) 726-1460

24945 US Highway 19 N
Clearwater, FL 33763
Phone (727) 726-1460

1001 37th St N
Ste D
St Petersburg, FL 33713
Phone (727) 327-6897

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1669564241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26750 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613404",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 US HIGHWAY 19 N STE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337613404",
            "telephone_number": "727-726-1460",
            "fax_number": "727-724-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "SHERYL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS4234",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS4234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065614300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.