Individual provider Active NPI

Dale Leigh Haynes, CRNA

  • Certified Registered Nurse Anesthetist
  • Decatur, GA
National Provider Identifier
1679545974
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN137191 Issued in GA
Practice address
2675 N Decatur Rd
Decatur, GA 30033-6131
Phone
(404) 508-7689
NPI assigned
Feb 2, 2006
Last updated
Apr 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN137191 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060410000409 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0840209433 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sleep EzzyGroup PAC ID 4486920295, 23 clinicians

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 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN137191GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Anesthesia Services of Atlanta LLC CurrentSince Nov 1, 2024 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Dec 30, 2021 Accepting new patients
Gastrointestinal Specialist of Georgia CurrentSince Jun 16, 2023 Accepting new patients
Northside Anesthesiology Consultants, LLC PastSince May 7, 2023 Accepting new patients
Ahpm of Georgia Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Ambulatory Anesthesia of Atlanta, P C Past Accepting new patients
Ahp of Dekalb LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Atlanta Surgery Center LTD Past Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Aug 13, 2023 Accepting new patients
Eclipse Anesthesia 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

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

3455 Peachtree Rd NE
Ste 500
Atlanta, GA 30326
Phone (804) 215-5600

3500 Lenox Rd NE
Ste 1500
Atlanta, GA 30326
Phone (404) 720-8220

550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094

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

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1679545974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 RICHMOND GLEN DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048208",
            "telephone_number": "404-791-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336131",
            "telephone_number": "404-508-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "DALE",
        "middle_name": "LEIGH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-02",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN137191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.