Grady Michael Hayes, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7464 Issued in NC

Practice address

86 Valley Hideaway Dr
Hayesville, NC 28904-9674

Phone

(828) 389-9941

Fax

(828) 389-3712

NPI assigned

Dec 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1699831768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 NOTTELY DAM RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305121798",
            "telephone_number": "912-253-8718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 VALLEY HIDEAWAY DR",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289049674",
            "telephone_number": "828-389-9941",
            "fax_number": "828-389-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "GRADY",
        "middle_name": "MICHAEL",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002619",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "7464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000978865",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Acquisition LLC
• Sidney Thomas Greenstone, D.O.
• Lisa Nicole Grubb, LCAS-A
• Robert Turner Guidry, M.A.
• Margaret Ann Harris, RPH
• Hayesville Family Care LLC
• Hayesville House, LLC
• Hayesville Operating Al, LLC
• Hayesville Pharmacy LLC
• Teresa Ann Heavner, MD

• Occupational Therapist in Hayesville, NC
• Providers in Hayesville, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.