Edward E. Hayes M.D.LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

33528 Issued in NC

Legal business name

EDWARD E. HAYES M.D.LLC

Practice address

12 Medical Center Dr
Supply, NC 28462-3350

Phone

(910) 755-6620

Fax

(910) 755-6632

NPI assigned

Nov 2, 2010

Last updated

Nov 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Elem Hayes, M.D.NPI 1033172648

Title

Owner

Phone

(910) 755-6620

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Elam Hayes, MD

  • Urology Physician
  • Dublin, GA
  • NPI 1033172648
  NPD (past) Authorized official

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1891095220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MEDICAL CENTER DR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284623350",
            "telephone_number": "910-755-6620",
            "fax_number": "910-755-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MEDICAL CENTER DR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284623350",
            "telephone_number": "910-755-6620",
            "fax_number": "910-755-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E. HAYES M.D.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ELEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-755-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "33528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Carr Deans
• Lauren Deluca, RN, BSN, IBCLC
• Jonathan Nicholas Desillier, PA-C
• Brandon Eric Devito, D.D.S
• Brenda Kay Dushek, OPA-C
• Essential Connections Consulting & Wellness Services LLC
• Kaitlyn Marie Etheridge
• Fayetteville Vamc
• Kathryn Gay Flood, LPC
• John Full, D.M.D.

• Urology Physician in Supply, NC
• Providers in Supply, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.