Tynisha K Hailes (NPI# 1295273936, PAC ID# 3971889171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1295273936 |
| PAC ID by PECOS | 3971889171 |
| Professional Enrollment ID | I20170424000034 |
| Full Name | Tynisha K Hailes |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Address |
1895 Hoffman Rd Suite B Gastonia NC 28054-6557 |
| Phone Number | 7048618669 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577476258 |
| Number of Group Practice Members | 254 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340032 | GASTON MEMORIAL HOSPITAL, INC. |
| Address | Phone | Organization |
|---|---|---|
| 1895 Hoffman Rd, Suite B, Gastonia, NC 28054-6557 | 7048618669 | CAROMONT MEDICAL GROUP INC |
| Organization Legal Name | CAROMONT MEDICAL GROUP INC |
| Physicians | 245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bianca Beyder | Physician Assistant | Caromont Medical Group Inc | 1200 Village Harbor Dr, Lake Wylie, SC 29710-9092 |
| Kani M Smith | Nurse Practitioner | Caromont Medical Group Inc | 1220 Spruce St, Belmont, NC 28012-3370 |
| Christy P Bush | Nurse Practitioner | Caromont Medical Group Inc | 660 Summit Crossing Pl, Suite 301, Gastonia, NC 28054-2181 |
| Taylor M Gulley | Clinical Social Worker | Caromont Medical Group Inc | 1867 Remount Rd, Suite H, Gastonia, NC 28054-7401 |
| Billiejo Lee Dagenhart | Nurse Practitioner | Caromont Medical Group Inc | 600 W Trade St, Dallas, NC 28034-1543 |
| Louise Zhou | Medical Oncology | Caromont Medical Group Inc | 2711 X Ray Dr, Suite 3701, Gastonia, NC 28054-7491 |
| Kelly Bergen | Nurse Practitioner | Caromont Medical Group Inc | 2555 Court Dr, Suite 300, Gastonia, NC 28054-2179 |
| Cecily Robin Smith | Nurse Practitioner | Caromont Medical Group Inc | 815 Cox Rd, Gastonia, NC 28054-3453 |
| Kao A Lor | Nurse Practitioner | Caromont Medical Group Inc | 14035 Grandiflora Dr, Suite B, Charlotte, NC 28278-8456 |
| Leanne R King | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Street Address |
1895 HOFFMAN RD SUITE B |
| City | GASTONIA |
| State | NC |
| Zip | 28054-6557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kofi Asiedu | Nurse Practitioner | Caromont Medical Group Inc | 1895 Hoffman Rd, Suite B, Gastonia, NC 28054-6557 |
| Alesha Nicole Logan | Nurse Practitioner | Caromont Medical Group Inc | 1895 Hoffman Rd, A, Gastonia, NC 28054-6557 |
| Joseph B Mcshea | Family Medicine | Caromont Medical Group Inc | 1895 Hoffman Rd, Suite B, Gastonia, NC 28054-6557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert Whitaker Jr. | Family Medicine | 224 S New Hope Rd K, Gastonia, NC 28054-0020 | |
| Leanne R King | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Kirsten G D Amore | Physical Medicine and Rehabilitation | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Emily B Rayfield | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| James E Harris Jr. | Physician Assistant | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Julie C Cornwell | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Lisa B Wilbanks | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Rebecca H Brown | Family Practice | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Nora D Paysour | Nurse Practitioner | Caromont Medical Group Inc | 258 E Garrison Blvd, Suite 101, Gastonia, NC 28054-0460 |
| Sharon L Heinrich | Nurse Practitioner | Hospice of Gaston County Inc | 258 E Garrison Blvd, Gastonia, NC 28054-0460 |
| Find all physicians in zip 28054 | |||
| City | GASTONIA |
| Zip Code | 28054 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GASTONIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tynisha K Hailes.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.