Individual provider Active NPI

Janet Lorraine Haley, ARNP

  • Nurse Practitioner
  • Austell, GA
National Provider Identifier
1912487786
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN294301 Issued in GA
Practice address
1550 Mulkey Rd
Austell, GA 30106-1112
Phone
(770) 732-1137
Fax
(770) 732-2081
NPI assigned
Aug 20, 2018
Last updated
Mar 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN294301 GA Primary

Addresses

Primary practice location

1550 Mulkey Rd
Austell, GA 30106-1112

Mailing address

1550 Mulkey Rd
Austell, GA 30106-1112
Phone (770) 732-1137

Other practice location 1

731 Strling Ctr Pl Ste 7931
Lake Mary, FL 32746-5209
Phone (407) 436-7380

Other practice location 2

422 S Alafaya Trl Ste 1020
Orlando, FL 32828-8984
Phone (407) 538-3855

Other practice location 3

7250 Red Bug Lake Rd Ste 1020
Oviedo, FL 32765-9290
Phone (407) 706-1770

Other names 1

  • Janet L Gonzalez Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210111000097 GA Practitioner - Nurse Practitioner 8224441308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta West Dermatology & Surgery Center PC CurrentSince Mar 24, 2024 Accepting new patients
Dermatology Center of Atlanta CurrentSince Jun 21, 2021 Accepting new patients
Advanced Dermatology,P.C. CurrentSince Oct 1, 2020 Accepting new patients

Locations

3459 Acworth Due West Rd NW
Acworth, GA 30101
Phone (678) 521-1105

2850 Paces Ferry Rd SE
Ste 450
Atlanta, GA 30339
Phone (770) 732-1137

1550 Mulkey Rd
Austell, GA 30106
Phone (770) 732-1137

4904 Timber Ridge Dr
Ste 101
Douglasville, GA 30135
Phone (770) 637-5563

9900 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (770) 497-0699

Interoperability endpoints

  • Direct secure messaging: jgonzalez1@atlantawest.emadirect.md

Organizations & group practices 3

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1912487786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061112",
            "telephone_number": "770-732-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061112",
            "telephone_number": "770-732-1137",
            "fax_number": "770-732-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "731 Strling Ctr Pl Ste 7931",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465209",
            "country_code": "US",
            "telephone_number": "407-436-7380",
            "fax_number": "407-986-9007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 S Alafaya Trl Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328288984",
            "country_code": "US",
            "telephone_number": "407-538-3855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7250 Red Bug Lake Rd Ste 1020",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327659290",
            "country_code": "US",
            "telephone_number": "407-706-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JANET",
        "middle_name": "LORRAINE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN294301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "GONZALEZ",
            "middle_name": "L",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.