Organization Active NPI

Gregory a. Haley MD, PC

  • Psychiatry Physician
  • Scottdale, GA
National Provider Identifier
1730330705
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43636 Issued in GA
Legal business name
GREGORY A. HALEY MD, PC
Practice address
3033 N Decatur Rd
Scottdale, GA 30079-1143
Phone
(404) 508-9908
Fax
(404) 508-9906
NPI assigned
Oct 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Mr. Felix Kuemmerli
Title
Office Manager
Phone
(404) 508-9908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 43636 GA Primary

Addresses

Primary practice location

3033 N Decatur Rd
Scottdale, GA 30079-1143

Mailing address

3033 N Decatur Rd
P.O. Box 102
Scottdale, GA 30079-1143
Phone (404) 508-9908

National Provider Directory

National Provider Directory

Locations

3033 N Decatur Rd
Scottdale, GA 30079
Phone (404) 354-4026

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1730330705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N DECATUR RD",
            "address_2": "P.O. BOX 102",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791143",
            "telephone_number": "404-508-9908",
            "fax_number": "404-508-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N DECATUR RD",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791143",
            "telephone_number": "404-508-9908",
            "fax_number": "404-508-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A. HALEY MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "KUEMMERLI",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-508-9908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "43636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.