Individual provider Active NPI

Bobbie Janeen Hayward, APRN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1679273684
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN-NP238568 Issued in GA
Practice address
2480 Windy Hill Rd SE Ste 405
Marietta, GA 30067-8658
Phone
(800) 640-3451
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN-NP238568 GA Primary

Addresses

Primary practice location

2480 Windy Hill Rd SE Ste 405
Marietta, GA 30067-8658

Mailing address

1321 Upland Dr.
PMB 5656
Houston, TX 77043
Phone (757) 349-4003

Other practice location 1

3001 Gordon Hwy
Grovetown, GA 30813
Phone (757) 349-4003

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bobbie.hayward.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20230510002963 GA Practitioner - Nurse Practitioner 5092171470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerwell Senior Primary Care Ga PCGroup PAC ID 3274939061, 56 clinicians

Practice addresses (Care Compare)

3435 Wrightsboro Rd
Suite 1202
Augusta, GA 30909-2519
Phone (706) 445-2349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP238568GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC CurrentSince Aug 1, 2024 Accepting new patients
Renew Wound Care of Georgia LLC CurrentSince May 1, 2023 Accepting new patients

Locations

5131 Warm Springs Rd
Columbus, GA 31909
Phone (706) 561-1371

2480 Windy Hill Rd SE
Ste 405
Marietta, GA 30067
Phone (770) 802-9687

3923 Fort Hamilton Pkwy
Brooklyn, NY 11218
Phone (718) 314-0999

1481 McDonald Ave
Brooklyn, NY 11230
Phone (347) 479-1110

Interoperability endpoints

  • Direct secure messaging: bobbie.hayward.1@29601.direct.athenahealth.com

Organizations & group practices 3

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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1679273684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 UPLAND DR.",
            "address_2": "PMB 5656",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77043",
            "telephone_number": "757-349-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678658",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3001 Gordon Hwy",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "30813",
            "country_code": "US",
            "telephone_number": "757-349-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYWARD",
        "first_name": "BOBBIE",
        "middle_name": "JANEEN",
        "name_prefix": "Mrs.",
        "credential": "APRN, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "APRN-NP238568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bobbie.hayward.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3435 Wrightsboro Rd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309092518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.