Individual provider Active NPI

Cody Hampton Haines, APRN-NP-C

  • Family Medicine Physician
  • Georgetown, TX
National Provider Identifier
1679233944
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1057768 Issued in TX
Practice address
908 Rockmoor Dr
Georgetown, TX 78628-8966
Phone
(512) 868-0901
Fax
(512) 868-1527
NPI assigned
Dec 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1057768 TX Primary
Primary Care Nurse Practitioner 363LP2300X 1057768 TX

Addresses

Primary practice location

908 Rockmoor Dr
Georgetown, TX 78628-8966

Mailing address

908 Rockmoor Dr
Georgetown, TX 78628-8966
Phone (512) 868-0901

Other practice location 1

455 University Blvd Ste 400
Round Rock, TX 78665-1076
Phone (855) 481-8375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113002900 TX Practitioner - Nurse Practitioner 8224420682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1057768TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medical Center of Georgetown, PA Family Medicine CurrentSince Jan 10, 2022 Accepting new patients

Locations

908 Rockmoor Dr
Georgetown, TX 78628
Phone (512) 868-0901

Interoperability endpoints

  • Direct secure messaging: cody.haines.1@27647.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27647/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1679233944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 ROCKMOOR DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288966",
            "telephone_number": "512-868-0901",
            "fax_number": "512-868-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ROCKMOOR DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786288966",
            "telephone_number": "512-868-0901",
            "fax_number": "512-868-1527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 University Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786651076",
            "country_code": "US",
            "telephone_number": "855-481-8375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAINES",
        "first_name": "CODY",
        "middle_name": "HAMPTON",
        "credential": "APRN-NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1057768",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1057768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.