Active NPI
Maureen Ann Haley, M.D.
- Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 42594
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Piedmont Augusta Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 100 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4648 | AK | MD | Surgery Physician |
| 42594 | GA | MD | Surgery Physician |
| 39565 | MN | MD | Surgery Physician |
| 40395 | WI | MD | Surgery Physician |
| 18634 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Healogics Specialty Physicians of Georgia, LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Piedmont Specialty Hospital Billing LLC | Current | Accepting new patients | |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Healogics Specialty Physicians of Georgia, LLC | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Monroe Hma Physician Management LLC | Surgery | Past | 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
- 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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1699290510
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Columbus, GA
- NPI 1265843536
-
- Cardiovascular Disease Physician
- Athens, GA
- NPI 1184130627
-
- Multi-Specialty Clinic/Center
- Cumming, GA
- NPI 1336790468
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1144203563
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.