Individual provider Active NPI

Mark Alan Hayes, MD

  • Cardiovascular Disease Physician
  • Marion, NC
National Provider Identifier
1912905977
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35135 Issued in NC
Practice address
31 E Medical CT
Suite 2
Marion, NC 28752-4969
Phone
(828) 652-0005
Fax
(828) 652-0011
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME89144 FL
Cardiovascular Disease Physician 207RC0000X 35135 NC Primary
Nuclear Cardiology Physician 207UN0901X 35135 NC

Addresses

Primary practice location

31 E Medical CT
Suite 2
Marion, NC 28752-4969

Mailing address

PO Box 602381
Charlotte, NC 28260-2381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000808 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2264327238 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35135NCMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Cardiology Interpreters Inc CurrentSince May 12, 2014 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Jan 1, 2011 Accepting new patients
Southern Medical Group, PA Cardiovascular Disease Past Accepting new patients
Southern Heart Group Cardiovascular Disease Past Accepting new patients
St Vincents Electrocardiography, Inc Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4010
Jacksonville, FL 32216

1824 King St
Ste 250
Jacksonville, FL 32204
Phone (904) 588-1820

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

1824 King St
Ste 300
Jacksonville, FL 32204
Phone (904) 381-9393

2025 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 581-9474

2300 Park Ave
Ste 101B
Orange Park, FL 32073
Phone (904) 249-4888

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1912905977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602381",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E MEDICAL CT",
            "address_2": "SUITE 2",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524969",
            "telephone_number": "828-652-0005",
            "fax_number": "828-652-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME89144",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "35135",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NC",
            "license": "35135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

Verify at the official NPI Registry.