Individual provider Active NPI

Tommie Haywood III, MD

  • Gastroenterology Physician
  • Decatur, GA
National Provider Identifier
1811979339
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
49420 Issued in GA
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

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
640122796DMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLC 138 clinicians
Aga Professional Services LLC 175 clinicians

Practice addresses (Care Compare)

2665 N Decatur Rd
Suite 350
Decatur, GA 30033-6145
Phone (678) 553-0226

Hospital & facility affiliations

  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076

Merit-based Incentive Payment System (MIPS)

Final score
74.39 of 100Reported as group
Quality
44.91
Promoting interoperability
98
Improvement activities
40
Cost
71.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Upper gastrointestinal (GI) endoscopy for acid reflux63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49420GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aga Professional Services, LLC Gastroenterology CurrentSince Jan 1, 2012 Accepting new patients
Aga, LLC Gastroenterology CurrentSince Aug 8, 2009 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

  • Direct secure messaging: tommie.haywood@ud.eclinicaldirectplus.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.