Individual provider Active NPI

Gaye Nicole Haynes, M.D.

  • Family Medicine Physician
  • Franklin, GA
National Provider Identifier
1710041983
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
049696 Issued in GA
Practice address
2906 Franklin Pkwy
Franklin, GA 30217-7544
Phone
(706) 675-6949
Fax
(706) 675-1962
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
Morehouse School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group Inc 120 clinicians

Practice addresses (Care Compare)

1030 Main St S
Suite a
Wedowee, AL 36278-7440
Phone (770) 812-9326

2906 Franklin Pkwy
Franklin, GA 30217-7544
Phone (706) 675-6949

690 Dallas Hwy
Villa Rica, GA 30180-1263

690 Dallas Hwy 207a
Villa Rica, GA 30180-1263
Phone (770) 456-3646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20040113000361 GA Practitioner - Family Practice 8325948532 Reassigns benefits to 2 organizations
I20120914000105 AL Practitioner - General PracticePractitioner - Family Practice 8325948532 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049696GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Primary Care of Wedowee Inc Family Medicine CurrentSince Sep 4, 2012 Accepting new patients
Tanner Medical Group Inc Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
TMC Immediate Care, Inc CurrentSince Jun 26, 2010 Accepting new patients
TMC Woodland Family Healthcare, Inc. Family Medicine CurrentSince Sep 4, 2012 Accepting new patients
TMC Children'S Healthcare of West Georgia Past Accepting new patients

Locations

1030 Main St S
Ste A
Wedowee, AL 36278
Phone (256) 357-2188

1030 Main St S
Wedowee, AL 36278
Phone (256) 357-2188

76 County Road 64
Ste 3
Woodland, AL 36280
Phone (256) 449-2001

1480 S Highway 27
Carrollton, GA 30117
Phone (770) 812-9445

119 Ambulance Dr
Ste 202
Carrollton, GA 30117
Phone (770) 838-8710

2906 Franklin Pkwy
Franklin, GA 30217
Phone (706) 675-6949

101 Quartz Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 836-9445

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 049696 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2906 Franklin Pkwy
Franklin, GA 30217-7544

Mailing address

119 Ambulance Dr 202
Carrollton, GA 30117-3857
Phone (770) 838-8710

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 28, 2018.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1710041983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 AMBULANCE DR 202",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173857",
            "telephone_number": "770-838-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 FRANKLIN PKWY",
            "city": "FRANKLIN",
            "state": "GA",
            "postal_code": "302177544",
            "telephone_number": "706-675-6949",
            "fax_number": "706-675-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "GAYE",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, GA

Sources for this page

Verify at the official NPI Registry.