MR. JARED MICHAEL HALEY CSA NPI 1619438991

NPI Information

  • NPI: 1619438991
  • Provider Name: MR. JARED MICHAEL HALEY, CSA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 403 WOODCHASE WAY
    WOODSTOCK, GA
    ZIP 30188
  • Phone: (678) 956-1272

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NPI Details

MR. Jared Michael Haley, CSA is a surgical physician assistant in Woodstock, GA. MR. Jared Michael Haley, CSA NPI is 1619438991. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

403 WOODCHASE WAY
WOODSTOCK, GA
ZIP 30188-052
Phone: (678) 956-1272

The enumeration date for this NPI number is 3/28/2019 and was last updated on 6/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246ZC0007XSpecialist/Technologist, OtherSurgical Assistant5008No
2363AS0400XPhysician AssistantSurgical5008Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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