Individual provider Active NPI

Crystal Lynn Haynes, FNP

  • Family Nurse Practitioner
  • Newnan, GA
National Provider Identifier
1891365722
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP001323 Issued in GA
Practice address
2305 Highway 34 E
Newnan, GA 30265-1329
Phone
(678) 423-1043
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 283665 AZ
Family Medicine Physician 207Q00000X 1204410 TX
Family Nurse Practitioner 363LF0000X 95021502 CA
Family Medicine Physician 207Q00000X HAYN-8BY7U NC
Family Nurse Practitioner 363LF0000X NP001323 GA Primary
Family Nurse Practitioner 363LF0000X APRN-3219 HI

Addresses

Primary practice location

2305 Highway 34 E
Newnan, GA 30265-1329

Mailing address

2305 Highway 34 E
Newnan, GA 30265-1329
Phone (678) 423-1043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211012000715 HI Practitioner - Nurse Practitioner 7012315641 Reassigns benefits to 1 organization
I20221101001403 CA Practitioner - Nurse Practitioner 7012315641 Reassigns benefits to 3 organizations
I20230725001882 GA Practitioner - Nurse Practitioner 7012315641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care PLLCGroup PAC ID 0941642169, 19 clinicians
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2305 Hwy 34 E
Newnan, GA 30265-1329
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
283665AZMDFamily Medicine Physician
HAYN-8BY7UNCMDFamily Medicine Physician
1204410TXMDFamily Medicine Physician
95021502CAMDFamily Nurse Practitioner
NP001323GAMDFamily Nurse Practitioner
APRN-3219HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Sep 22, 2022 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Aug 17, 2021 Accepting new patients
Minuteclinic LLC Family CurrentSince Jun 29, 2023 Accepting new patients
Minuteclinic Diagnostic Medical Group of San Diego Inc Family Medicine CurrentSince Sep 22, 2022 Accepting new patients
Minuteclinic Diagnostic Medical Group of California Inc Family CurrentSince Sep 22, 2022 Accepting new patients
Primary Care PLLC Family CurrentSince Sep 10, 2024 Accepting new patients

Locations

1401 S Baldwin Ave
Arcadia, CA 91007
Phone (626) 321-4210

2510 El Camino Real
Carlsbad, CA 92008
Phone (760) 729-8941

2760 Fletcher Pkwy
El Cajon, CA 92020
Phone 6194614411 ext. 8221

2456 S Grove Ave
Ontario, CA 91761
Phone (909) 947-9390

11428 Kenyon Way
Rancho Cucamonga, CA 91701
Phone (909) 589-4098

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone (951) 303-3154

2791 Agoura Rd
Westlake Village, CA 91361
Phone 8054954938 ext. 8221

2305 Highway 34 E
Newnan, GA 30265
Phone (678) 423-1043

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

2470 S King St
Honolulu, HI 96826
Phone (808) 947-2651

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1891365722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651329",
            "telephone_number": "678-423-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651329",
            "telephone_number": "678-423-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "CRYSTAL",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "283665",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1204410",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "HAYN-8BY7U",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP001323",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-3219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

Verify at the official NPI Registry.