Active NPI
Carole Anne Dye Haire, D.O.
- Family Medicine Physician
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16935
- Practice address
- 2633 Traceland Drive
Tupelo, MS 38801 - Phone
- (662) 205-4652
- Fax
- (662) 205-4651
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16935 | MS | Primary |
Addresses
Primary practice location
2633 Traceland Drive
Tupelo, MS 38801
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (877) 348-1281
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126275 | Medicaid | MS |
Other names 1
- Anne Haire
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2633 Traceland Dr
Tupelo, MS 38801-4238
Phone (662) 205-4652
Hospital & facility affiliations
- North Mississippi Medical Ctr HHA
- North Mississippi Medical Center
- Baptist Memorial Hospital Union County
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.87 of 100
- Quality
- 64.75
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16935 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| BMC - Attala, LLC | Family Medicine | Past | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Family Medicine | Past | Accepting new patients |
Locations
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
2633 Traceland Dr
Tupelo, MS 38801
Phone (662) 205-4652
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
Family Medicine, MS
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- Home Health Agency
- Tupelo, MS
- NPI 1003871344
-
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1922074228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"telephone_number": "877-348-1281",
"fax_number": "901-227-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2633 TRACELAND DRIVE",
"city": "TUPELO",
"state": "MS",
"postal_code": "38801",
"telephone_number": "662-205-4652",
"fax_number": "662-205-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRE",
"first_name": "CAROLE ANNE",
"middle_name": "DYE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "16935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126275",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "HAIRE",
"credential": "D.O.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.