Dale Leigh Haynes, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Decatur, GA
NPI 1679545974 · NPPES record last updated Apr 3, 2020
Key facts
- NPI
- 1679545974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- RN137191 (GA)
- Practice address
- 2675 N Decatur Rd
Decatur, GA 30033-6131 - Phone
- (404) 508-7689
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sleep Ezzy
Practice addresses (Care Compare)
455 Philip Blvd
Suite 138
Lawrenceville, GA 30046-8768
Phone (770) 962-3642
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060410000409 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 0840209433 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN137191 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Ambulatory Anesthesia LLC | Current |
Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Gastrointestinal Specialist of Georgia | Current |
Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Services of Atlanta LLC | Current |
Accepting new patients | |
| Ahp of Georgia, LLC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Eclipse Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Dekalb LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| South Georgia Anesthesia Group, P.C. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Ahp of Central Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| North Fulton Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Atlanta Surgery Center LTD | Past | Accepting new patients | |
| Northside Anesthesiology Consultants, LLC | Past |
Accepting new patients | |
| Ambulatory Anesthesia of Atlanta, P C | Past | Accepting new patients | |
| Ahpm of Georgia Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094
1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902
3500 Lenox Rd NE
Ste 1500
Atlanta, GA 30326
Phone (404) 720-8220
3455 Peachtree Rd NE
Ste 500
Atlanta, GA 30326
Phone (404) 490-1785
2675 N Decatur Rd
Decatur, GA 30033
Phone (404) 292-1144
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
2550 Windy Hill Rd SE
Ste 302
Marietta, GA 30067
Phone (678) 574-0943
711 Canton Rd NE
Ste 300
Marietta, GA 30060
Phone (678) 741-2317
3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN137191 | GA | Yes |
Addresses
Primary practice location
2675 N Decatur Rd
Decatur, GA 30033-6131
Mailing address
705 Richmond Glen Dr
Alpharetta, GA 30004-8208
Phone (404) 791-5784
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000777488E | Medicaid | GA |
Other providers in Decatur, GA
- Kamisha Hayes
- Melissa Leigh Hayes
- Vivian S. Hayes
- William Gregory Hayes
- Brandon Haygood
- Dejah Dominique Haynes
- Cantrina Hayslett
- Tommie Haywood III
- Virginia Baker Hazen
- Mamie Head
All providers in Decatur, GA · Certified Registered Nurse Anesthetist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.