Carl L Haynes Jr., MD
Individual provider Active NPI Family Medicine Physician · La Grange, NC
NPI 1720063340 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1720063340
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25713 (NC)
- Practice address
- 101 S Carey St
La Grange, NC 28551-1805 - Phone
- (252) 566-4021
- Fax
- (252) 566-2902
- NPI assigned
- Dec 7, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Proactive Therapy of North Carolina Inc
Vidant Medical Group LLC
Broad River Rehabilitation
Practice addresses (Care Compare)
2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818
701 Doctors Dr
Suite H
Kinston, NC 28501-1584
Phone (252) 559-2200
9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027
Hospital & facility affiliations
- 3HC
- Centerwell Home Health
- 3HC
- Unc Lenoir Health Care
- Unc Health Care Wayne
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100514000398 | NC | Practitioner - Family Practice | 4981785821 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25713 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current |
Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
313 Airport Rd
Kinston, NC 28504
Phone (252) 559-2200
701 Doctors Dr
Ste H
Kinston, NC 28501
Phone (252) 552-1404
701 Doctors Dr
Ste N
Kinston, NC 28501
Phone (252) 559-2200
101 S Carey St
La Grange, NC 28551
Phone (252) 556-6402
Interoperability endpoints
- chaynes15418@direct.ecuhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25713 | NC | Yes |
Addresses
Primary practice location
101 S Carey St
La Grange, NC 28551-1805
Mailing address
701 Doctors Dr
Suite N
Kinston, NC 28501-1589
Phone (252) 559-2200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8940728 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chaynes15418@direct.vidanthealth.com | ||
| Direct Messaging Address | chaynes15418@direct.vidanthealth.com |
Other providers in La Grange, NC
- Daniel'S Choices Youth Development, Inc.
- Kyle Denton
- Dr. Kent S. Denton
- Food Lion LLC
- Jimmie Graham III
- Christy Dawn Heath
- Jennifer Lynn Heath
- Crystal Ingram
- Kinston Clinic Pharmacy Inc
- Lane and Associates Xlvii DDS PA
All providers in La Grange, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. 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.
- Order and Referring (CMS).
- 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.