Active NPI
Sheryl M Haynes, D.O.
- General Practice Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- OS4234
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 065614300 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS4234 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Total Healthcare LLC | Current | Accepting new patients | |
| Total Vitality Medical Group, LLC | Current | 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.
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1376583609
-
- Durable Medical Equipment & Medical Supplies
- Clearwater, FL
- NPI 1700188927
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.