Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740255900 Individual Practitioner Female Practitioner

Judith B. Haley , CPNP

Nurse Practitioner - Pediatrics • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Judith Haley, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Gainesville, GA. Practice services are available at 725 JESSE JEWELL PKWY SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

725 Jesse Jewell Pkwy Se

Gainesville, GA 305013834

Telephone 7705353611
Fax 7705357092
Associated Practice Facility / Clinic
🏢 The Longstreet Clinic, Pc Facility NPI 1326019977

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Gainesville, GA (929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License GA RN139047

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
000820388C (GA)
Medicaid State Provider ID
000820388G (GA)
Medicaid State Provider ID
000820388E (GA)
Medicaid State Provider ID
000820388H (GA)
Commercial Insurance / Payer ID Wellcare
303398 (GA)
Commercial Insurance / Payer ID Wellcare
303384 (GA)
Commercial Insurance / Payer ID Wellcare
303396 (GA)
Commercial Insurance / Payer ID Wellcare
303397 (GA)
Commercial Insurance / Payer ID Amerigroup
10032985 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1043290307

Doctor of Medicine (M.D.)

NPI 1053391979

Doctor of Medicine (M.D.)

Julie Chapman , PA

Physician Assistant - Medical

NPI 1073550059

Physician Assistant

NPI 1073730032

Registered Nurse, Master of Science, Certified Pediatric Nurse Practitioner, NNPBC

Stephanie Debski , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1083056931

NNPBC

Marisa Breen

Nurse Practitioner - Acute Care

NPI 1083240154

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 23, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2012

Registered at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 305013834 (Tel: 7705353611)

📍
Updated Business Mailing Address March 23, 2012

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤
Provider Name / Credentials Updated March 23, 2012

Recorded as JUDITH HALEY, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2012

Nurse Practitioner (License #RN139047 in GA)

🟢
Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740255900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2006
Last Update: March 23, 2012
Sole Proprietor: No

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.