Active NPI
Emily Anna Haynes, PA-C
- Medical Physician Assistant
- North Charleston, SC
National Provider Identifier
1750769014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2317
- Practice address
- 2233 Northwoods Blvd
North Charleston, SC 29406-4007 - Phone
- (843) 773-9903
- NPI assigned
- May 7, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2317 | SC | Primary |
Addresses
Primary practice location
2233 Northwoods Blvd
North Charleston, SC 29406-4007
Mailing address
113 Breakers Dr
Apt 332
Myrtle Beach, SC 29579-4423
Phone (330) 247-8295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2317 | SC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pelham Medical Center | Current | Accepting new patients | |
| Nasoncare, LLC | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Emergency Physician Services | Past | Accepting new patients | |
| Village Hospital | Past | Accepting new patients |
Locations
250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108
2233 Northwoods Blvd
North Charleston, SC 29406
Phone (843) 773-9903
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Greer, SC
- NPI 1619133568
-
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
- Primary Care Clinic/Center
- North Charleston, SC
- NPI 1346705522
-
- Pain Medicine Physician
- Greer, SC
- NPI 1942960844
-
- Diagnostic Radiology Physician
- Spartanburg, SC
- NPI 1144080227
-
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
- Radiology Clinic/Center
- Greenville, SC
- NPI 1720471618
-
- Critical Care Neonatal Nurse Practitioner
- Greer, SC
- NPI 1326288051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1750769014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BREAKERS DR",
"address_2": "APT 332",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295794423",
"telephone_number": "330-247-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 NORTHWOODS BLVD",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064007",
"telephone_number": "843-773-9903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "EMILY",
"middle_name": "ANNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-07",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "2317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.