MRS. ANDREA HAYNES (NPI# 1053723676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053723676 |
| Entity Type | Individual |
| Full Name | MRS. ANDREA HAYNES |
| Other Name | MS. ANDREA ROCHE' GAYDEN |
| Credential | ANP-BC |
| Practice Address |
424 Decatur St Se Atlanta GA 30312-1848 |
| Practice Telephone | 6788438600 |
| Mailing Telephone | 6788438600 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN208594 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012185 | Andrea Haynes | Pharmacist | 702 W Loop 289, Lubbock, TX 79416-4200 | 2020-10-28 |
| 1720585029 | Andrea Nicole Haynes | Student in an Organized Health Care Education/Training Program | 850 Peter Bryce Blvd, Tuscaloosa, AL 35401-7457 | 2018-04-12 |
| 1093069072 | Andrea Shana Haynes | Registered Nurse | 4101 Woolworth Ave, Omaha, NE 68105-1850 | 2012-10-30 |
| Street Address |
424 DECATUR ST SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801860986 | Cindy Denise Unongo | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2006-02-15 |
| 1649741299 | Kristen Michelle Deltoro | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2018-12-07 |
| 1447761150 | Krystal D Toland | Case Manager/Care Coordinator | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-10-20 |
| 1518486000 | Sherry Renee Baldwin | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-09-15 |
| 1366965477 | Emily Bakshi | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2017-07-20 |
| 1437525029 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2015-08-18 |
| 1427484302 | Jaime Bettina King | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2013-09-23 |
| 1265874796 | Joy Fernandez De Narayan | Nurse Practitioner | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2013-07-25 |
| 1497090211 | Cathryn Marchman | Social Worker | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2012-12-05 |
| 1225303670 | Mawuena Agbonyitor | Psychiatry & Neurology | 424 Decatur St Se, Atlanta, GA 30312-1848 | 2012-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1386144848 | Gabrielle Nicole Stevens | Nurse Practitioner | 980 Johnson Ferry Rd Ste 900, Atlanta, GA 30342-4768 | 2018-02-20 |
| 1316451909 | Tamika Antoinette Thompson | Nurse Practitioner | 2569 Saint Paul Dr Sw, Atlanta, GA 30331-9221 | 2017-11-20 |
| 1396268819 | Erin Bremer | Nurse Practitioner | 12 Executive Park Dr Ne Fl 4, Atlanta, GA 30329-2206 | 2017-07-18 |
| 1275063513 | Dhruvangi Sharma | Nurse Practitioner | 8095 Roswell Rd, Atlanta, GA 30350-3931 | 2017-06-19 |
| 1093191249 | Sheryl Lamb | Nurse Practitioner | 455 E Ontario Ave Sw, Atlanta, GA 30310-1505 | 2015-08-10 |
| 1831584549 | Hope A Khan | Nurse Practitioner | 7101 Saint Clair Dr Ne, Atlanta, GA 30329-2679 | 2015-03-30 |
| 1669891941 | Sherly Clairvil | Nurse Practitioner | 5825 Glenridge Dr Ste 120, Atlanta, GA 30328-5387 | 2014-04-15 |
| 1770906620 | Countiss Williams | Nurse Practitioner | 3161 Howell Mill Rd Nw Ste 400, Atlanta, GA 30327-2117 | 2014-01-29 |
| 1609207208 | Bonnie Sparks | Nurse Practitioner | 1762 Clifton Road Ne, Atlanta, GA 30022 | 2013-12-06 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.