Individual provider Active NPI

Maureen Ann Haley, M.D.

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1750483970
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
42594 Issued in GA
Practice address
2674 Colgan CT SE
Atlanta, GA 30317-2950
Phone
(404) 405-3054
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 40395 WI
Surgery Physician 208600000X 18634 WV
Surgery Physician 208600000X 39565 MN
Surgery Physician 208600000X 4648 AK
Surgery Physician 208600000X 42594 GA Primary

Addresses

Primary practice location

2674 Colgan CT SE
Atlanta, GA 30317-2950

Mailing address

2674 Colgan CT SE
Atlanta, GA 30317-2950
Phone (404) 405-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050224000171 GA Practitioner - General Surgery 2769478981 Reassigns benefits to 4 organizations
I20130405000203 TX Practitioner - General Surgery 2769478981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians

Practice addresses (Care Compare)

1255 Hwy 54 W
Fayetteville, GA 30214-4526
Phone (770) 719-7000

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

Hospital & facility affiliations

  • Emory University Hospital Midtown Hospital, Atlanta, GA, CCN 110078
  • Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue100
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4648AKMDSurgery Physician
42594GAMDSurgery Physician
39565MNMDSurgery Physician
40395WIMDSurgery Physician
18634WVMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jan 22, 2013 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince Sep 1, 2020 Accepting new patients
Cherokee Nation Current Accepting new patients
Piedmont Specialty Hospital Billing LLC CurrentSince Oct 18, 2021 Accepting new patients
The Emory Clinic Inc CurrentSince Aug 21, 2025 Accepting new patients
Healogics Specialty Physicians of Georgia, LLC CurrentSince Sep 1, 2020 Accepting new patients
Cherokee Nation CurrentSince Jan 22, 2013 Accepting new patients
Monroe Hma Physician Management LLC Surgery PastSince Jan 13, 2014 Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

619 19TH St
Ste 300
Columbus, GA 31901
Phone (706) 320-8685

619 19TH St
Ste 300
Columbus, GA 31901

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

501 E 5th St
Bartlesville, OK 74003
Phone (918) 336-0823

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: mhaley1171464@direct.emory.org

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1750483970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2674 COLGAN CT SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172950",
            "telephone_number": "404-405-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2674 COLGAN CT SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172950",
            "telephone_number": "404-405-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "40395",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WV",
            "license": "18634",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "39565",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "4648",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "42594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.