Individual provider Active NPI

Haley D Justus, R.D., L.D.N.

  • Registered Dietitian
  • Hendersonville, NC
National Provider Identifier
1861896672
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004454 Issued in NC
Practice address
100 Hospital Dr
Hendersonville, NC 28792-5272
Phone
(828) 681-2750
NPI assigned
Oct 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2544 SC
Registered Dietitian 133V00000X 3562 LA
Registered Dietitian 133V00000X 20240272021 MO
Registered Dietitian 133V00000X 86047176 NJ
Registered Dietitian 133V00000X D-2360 MS
Registered Dietitian 133V00000X 5056 AL
Registered Dietitian 133V00000X L004454 NC Primary
Registered Dietitian 133V00000X 010850 NY
Registered Dietitian 133V00000X ND12966 FL
Registered Dietitian 133V00000X LD.09612 OH
Registered Dietitian 133V00000X LD006373 GA
Registered Dietitian 133V00000X 37003397A IN
Registered Dietitian 133V00000X DN007616 PA
Registered Dietitian 133V00000X 164008540 IL
Registered Dietitian 133V00000X 285116 KY

Addresses

Primary practice location

100 Hospital Dr
Hendersonville, NC 28792-5272

Mailing address

100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 691-2728

Other practice location 1

4208 Six Forks Rd Ste 1000
Raleigh, NC 27609-5738
Phone (919) 877-6800

Other practice location 2

9039 Springboro Pike Ste C
Miamisburg, OH 45342-5442
Phone (513) 916-4128

Other practice location 3

1500 Walnut St Ste 603
Philadelphia, PA 19102-3516
Phone (267) 754-8400

Other practice location 4

1320 Main St Ste 351
Columbia, SC 29201-3204
Phone (980) 443-4852

Other practice location 5

5100 Poplar Ave Fl 27
Memphis, TN 38137-2701
Phone (901) 625-5408

Other practice location 6

5605 N MacArthur Blvd Fl 10
Irving, TX 75038-2617
Phone (972) 460-0910

Other practice location 7

8741 S Greenwood Ave Ste 106-108
Chicago, IL 60619-7061
Phone (773) 920-2755

Other practice location 8

30700 Telegraph Rd Ste 1540
Bingham Farms, MI 48025-5811
Phone (313) 631-7878

Other practice location 9

2810 Crossroads Dr Ste 4000
Madison, WI 53718-8014
Phone (608) 492-2940

Other practice location 10

401 W Main St Ste 1810
Louisville, KY 40202-2927
Phone (270) 240-2585

Other practice location 11

3100 45th St Ste 3
Highland, IN 46322-3277
Phone (888) 998-7337

Other practice location 12

201 N Illinois St # 1656
Indianapolis, IN 46204-1904
Phone (720) 204-5760

Other practice location 13

2900 Westfork Dr Ste 401
Baton Rouge, LA 70827-0010
Phone (504) 910-7878

Other names 1

  • Haley June Donaldson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, PA, NC, KY, GA, SC, WI7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20220504001231 IL Practitioner - Registered Dietitian Or Nutrition Professional 9638565633
I20220517000001 PA Practitioner - Registered Dietitian Or Nutrition Professional 9638565633 Reassigns benefits to 2 organizations
I20220526001035 NC Practitioner - Registered Dietitian Or Nutrition Professional 9638565633
I20230706001984 KY Practitioner - Registered Dietitian Or Nutrition Professional 9638565633 Reassigns benefits to 2 organizations
I20240402000188 GA Practitioner - Registered Dietitian Or Nutrition Professional 9638565633 Reassigns benefits to 3 organizations
I20240423003461 SC Practitioner - Registered Dietitian Or Nutrition Professional 9638565633 Reassigns benefits to 1 organization
I20240508000405 WI Practitioner - Registered Dietitian Or Nutrition Professional 9638565633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1600 Stout St
Suite 2000
Denver, CO 80202-1575

1600 Stout St
Suite 2000
Denver, CO 80202-3113

750 Lexington Ave
FL 7
New York, NY 10022-9818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3562LAMDProfessional Counselor
2544SCMDDentist
5056ALMDGeneral Practice Dentistry
LD006373GAMDRegistered Dietitian
164008540ILMDRegistered Dietitian
20240272021MOMDRegistered Dietitian
86047176NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Ahmed Elsharkawi MD LLC CurrentSince Apr 1, 2025 Accepting new patients
Kidney Clinic Cordele LLC CurrentSince Apr 25, 2025 Accepting new patients
South Carolina Nephrology and Hypertension CurrentSince Apr 1, 2025 Accepting new patients
Valdosta Kidney Clinic, LLC CurrentSince Apr 1, 2025 Accepting new patients
Andre D. Feria MD PC CurrentSince Apr 1, 2025 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Strive Health PA, LLC PastSince Feb 8, 2022 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Sleep Solutions, Inc. PastSince Apr 1, 2025 Accepting new patients

Locations

195 E Tollison St
Ste C
Baxley, GA 31513

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

3025 Shrine Rd
Ste 270
Brunswick, GA 31520
Phone (912) 262-2723

116 E 4th Ave
Cordele, GA 31015
Phone (229) 273-3883

106 W 4th Ave
Cordele, GA 31015
Phone (229) 271-3200

2383 Third St
Folkston, GA 31537
Phone (912) 496-1155

301 Fraser Dr
Hinesville, GA 31313
Phone (912) 262-2723

330 Peachtree St
Jesup, GA 31545
Phone (912) 415-8552

823 S 1st St
Jesup, GA 31545
Phone 9122831359185

142 Old Mill Rd
Lagrange, GA 30241
Phone (706) 882-7440

2040 Dan Proctor Dr
Ste 200
Saint Marys, GA 31558
Phone (912) 576-6376

410 Cowart Ave
Valdosta, GA 31602
Phone (229) 244-6544

3709 Magnolia St
Orangeburg, SC 29118
Phone (803) 531-2220

5605 N MacArthur Blvd
Irving, TX 75038
Phone 9724600910 ext. 53559

5605 N MacArthur Blvd
Fl 10
Irving, TX 75038
Phone (833) 595-3559

Interoperability endpoints

  • Direct secure messaging: pakidneycare.haleyjustus@147758.advancedmd-direct.com
  • Direct secure messaging: strivehealthil.haleyjustus@151292.advancedmd-direct.com
  • Direct secure messaging: strivehealth.haleyjustus@144776.advancedmd-direct.com
  • Direct secure messaging: strivehealthnc.haleyjustus@147988.advancedmd-direct.com
  • Direct secure messaging: strivehealth.haleyjustus@146104.advancedmd-direct.com
  • Direct secure messaging: strivehealthoh.haleyjustus@152155.advancedmd-direct.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGACDD

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1861896672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925272",
            "telephone_number": "828-691-2728"
        },
        {
            "country_code": "US",
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            "telephone_number": "828-681-2750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4208 Six Forks Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276095738",
            "country_code": "US",
            "telephone_number": "919-877-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9039 Springboro Pike Ste C",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453425442",
            "country_code": "US",
            "telephone_number": "513-916-4128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Walnut St Ste 603",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191023516",
            "country_code": "US",
            "telephone_number": "267-754-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Main St Ste 351",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292013204",
            "country_code": "US",
            "telephone_number": "980-443-4852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Poplar Ave Fl 27",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381372701",
            "country_code": "US",
            "telephone_number": "901-625-5408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5605 N MacArthur Blvd Fl 10",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750382617",
            "country_code": "US",
            "telephone_number": "972-460-0910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8741 S Greenwood Ave Ste 106-108",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197061",
            "country_code": "US",
            "telephone_number": "773-920-2755",
            "fax_number": "844-465-6341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30700 Telegraph Rd Ste 1540",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480255811",
            "country_code": "US",
            "telephone_number": "313-631-7878",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Crossroads Dr Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537188014",
            "country_code": "US",
            "telephone_number": "608-492-2940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 W Main St Ste 1810",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022927",
            "country_code": "US",
            "telephone_number": "270-240-2585",
            "fax_number": "877-326-3531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 45th St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IN",
            "postal_code": "463223277",
            "country_code": "US",
            "telephone_number": "888-998-7337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Illinois St # 1656",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462041904",
            "country_code": "US",
            "telephone_number": "720-204-5760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Westfork Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708270010",
            "country_code": "US",
            "telephone_number": "504-910-7878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUSTUS",
        "first_name": "HALEY",
        "middle_name": "D",
        "credential": "R.D., L.D.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2544",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "3562",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "20240272021",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "86047176",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "D-2360",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "5056",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004454",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "010850",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND12966",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.09612",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD006373",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IN",
            "license": "37003397A",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN007616",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164008540",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "285116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "DONALDSON",
            "middle_name": "JUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.