Organization Active NPI

Sherrard L. Hayes, M.D.,P.a.

  • Internal Medicine Physician
  • Fort Pierce, FL
National Provider Identifier
1699708115
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0024054 Issued in FL
Legal business name
SHERRARD L. HAYES, M.D.,P.A.
Practice address
1900 Nebraska Ave
Suite 1
Fort Pierce, FL 34950-4837
Phone
(772) 464-3200
Fax
(772) 464-8025
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Sherard L Hayes, M.D.
Title
Physician President
Phone
(772) 464-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0024054 FL Primary

Addresses

Primary practice location

1900 Nebraska Ave
Suite 1
Fort Pierce, FL 34950-4837

Mailing address

1900 Nebraska Ave
Suite 1
Fort Pierce, FL 34950-4837
Phone (772) 464-3200

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherFLSOCIAL SECURITY NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699708115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-464-3200",
            "fax_number": "772-464-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NEBRASKA AVE",
            "address_2": "SUITE 1",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504837",
            "telephone_number": "772-464-3200",
            "fax_number": "772-464-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRARD L. HAYES, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SHERARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN  PRESIDENT",
        "authorized_official_telephone_number": "772-464-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0024054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY NUMBER",
            "identifier": "$$$$$$$$$",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.