Individual provider Active NPI

Gregory Alan Haley, M.D.

  • Psychiatry Physician
  • Scottdale, GA
National Provider Identifier
1902824204
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
43636 Issued in GA
Practice address
3033 N Decatur Rd
Scottdale, GA 30079-1143
Phone
(404) 508-9908
Fax
(404) 508-9906
NPI assigned
Jul 17, 2006
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 43636 GA Primary

Addresses

Primary practice location

3033 N Decatur Rd
Scottdale, GA 30079-1143

Mailing address

3033 N Decatur Rd
Scottdale, GA 30079-1143
Phone (404) 508-9908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43636GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory a. Haley MD, PC Psychiatry PastSince Jan 1, 2005 Accepting new patients
Advantage Behavioral Health Systems PastSince Nov 4, 2009 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1902824204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N DECATUR RD",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791143",
            "telephone_number": "404-508-9908",
            "fax_number": "404-508-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 N DECATUR RD",
            "city": "SCOTTDALE",
            "state": "GA",
            "postal_code": "300791143",
            "telephone_number": "404-508-9908",
            "fax_number": "404-508-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "GREGORY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "43636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, GA

Sources for this page

Verify at the official NPI Registry.