Active NPI
Tommie Haywood III, MD
- Gastroenterology Physician
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 49420
- Practice address
- 2665 N Decatur Rd
Suite 350
Decatur, GA 30033-6149 - Phone
- (678) 553-0226
- Fax
- (678) 553-0029
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 49420 | GA | Primary |
Addresses
Primary practice location
2665 N Decatur Rd
Suite 350
Decatur, GA 30033-6149
Mailing address
550 Peachtree St NE
Suite 1600
Atlanta, GA 30308-2208
Phone (404) 888-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640122796D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060410000443 | GA | Practitioner - Gastroenterology | 8729097324 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Perelman School of Med at the University of Pennsylvania, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aga, LLCAga Professional Services LLC
Practice addresses (Care Compare)
2665 N Decatur Rd
Suite 350
Decatur, GA 30033-6145
Phone (678) 553-0226
Hospital & facility affiliations
- Emory Hillandale Hospital
- Emory Decatur Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.39 of 100
- Quality
- 44.91
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.38
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 63 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 63 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49420 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aga Professional Services, LLC | Gastroenterology | Current | Accepting new patients |
| Aga, LLC | Gastroenterology | Current | Accepting new patients |
| Decatur Endoscopy Center, LLC | Past | Accepting new patients | |
| Panola Endoscopy Center LLC | Past | Accepting new patients |
Locations
4450 Calibre Xing NW
Ste 1200
Acworth, GA 30101
Phone (678) 631-4600
1800 Howell Mill Rd NW
Ste 600
Atlanta, GA 30318
Phone (404) 351-9512
340 Boulevard NE
Ste 145
Atlanta, GA 30312
Phone (404) 523-2701
550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094
1269 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-0505
7229 Wheat St NE
Covington, GA 30014
Phone (678) 625-5132
1100 Northside Forsyth Dr
Ste 200
Cumming, GA 30041
Phone (770) 205-9723
2665 N Decatur Rd
Ste 350
Decatur, GA 30033
Phone (678) 553-0226
8855 Hospital Dr
Ste 101
Douglasville, GA 30134
Phone (678) 784-5020
1260 Highway 54 W
Ste 103
Fayetteville, GA 30214
Phone (770) 486-7000
301 Philip Blvd
Ste A
Lawrenceville, GA 30046
Phone (770) 822-5560
5900 Hillandale Dr
Ste 335
Lithonia, GA 30058
Phone (404) 299-1679
488 Kennesaw Ave NW
Ste 150
Marietta, GA 30060
Phone (770) 427-3075
2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165
488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075
2401 Newnan Crossing Blvd E
Ste 110
Newnan, GA 30265
Phone (678) 631-4610
1340 Upper Hembree Rd
Ste A
Roswell, GA 30076
Phone (770) 569-0777
980 Johnson Fy Rd NE
Ste 820
Sandy Springs, GA 30342
Phone (404) 252-9307
5671 Ptree Dunwoody
Sandy Springs, GA 30342
Phone (404) 255-1030
5671 Peachtree Dunwoody Rd
Ste 511
Sandy Springs, GA 30342
403 Permian Way
Ste A
Villa Rica, GA 30180
Phone (678) 784-5020
Interoperability endpoints
- tommie.haywood@ud.eclinicaldirectplus.com
- https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1063799120
GA, Gastroenterology
-
- Endoscopy Clinic/Center
- Decatur, GA
- NPI 1023252954
-
- Endoscopy Clinic/Center
- Lithonia, GA
- NPI 1275871147
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": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1811979339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1600",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082208",
"telephone_number": "404-888-7575",
"fax_number": "404-885-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 N DECATUR RD",
"address_2": "SUITE 350",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336149",
"telephone_number": "678-553-0226",
"fax_number": "678-553-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWOOD",
"first_name": "TOMMIE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "49420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "640122796D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.