Individual provider Active NPI

Morgan Harmon Haynes, M.C.D., CCC-SLP

  • Speech-Language Pathologist
  • Rossville, GA
National Provider Identifier
1912520701
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1600 Happy Valley Rd
Rossville, GA 30741-2210
Phone
(706) 866-3600
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1600 Happy Valley Rd
Rossville, GA 30741-2210

Mailing address

1217 Westwood Ave
Chattanooga, TN 37405-2338
Phone (423) 718-5751

Other practice location 1

515 Peterson Ave S Ste B
Douglas, GA 31533-5244
Phone (912) 501-4047

Other identifiers 1

IdentifierTypeStateIssuer
003235696BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haynes Therapy Group, LLC Speech-Language Pathologist CurrentSince Feb 26, 2023 Accepting new patients

Organizations & group practices 1

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1912520701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 WESTWOOD AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374052338",
            "telephone_number": "423-718-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HAPPY VALLEY RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307412210",
            "telephone_number": "706-866-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Peterson Ave S Ste B",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "GA",
            "postal_code": "315335244",
            "country_code": "US",
            "telephone_number": "912-501-4047",
            "fax_number": "912-501-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "MORGAN",
        "middle_name": "HARMON",
        "name_prefix": "Mrs.",
        "credential": "M.C.D., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-11-03",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003235696B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rossville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; 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.