Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1033736764 Individual Practitioner Female Practitioner

Hailey Dominy Stack , PA-C

Physician Assistant • Savannah, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Hailey Stack, PA-C is a certified Physician Assistant practicing in Savannah, GA. With approximately 2 years of clinical experience since graduating from Lincoln Memorial University Medical Department in 2024, Hailey Stack delivers high-quality medical care to the local community at 6413 WATERS AVE STE 102.

Hailey Stack is affiliated with Internal Medicine Of Savannah, Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

6413 Waters Ave Ste 102

Savannah, GA 314062711

Telephone 9123496624
Fax 9123524728
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Lincoln Memorial University Medical Department

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Savannah, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
247 Specialists

Practicing in Savannah, GA (4726 Statewide)

Telehealth Adoption Rate
6.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stack (2 Years) 2 Yrs
Savannah Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 12635

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Internal Medicine Of Savannah, Llc

6413 Waters Ave, Savannah, GA 314062711

Phone: 9123496624

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Yulianty Kusuma , MD

Internal Medicine

NPI 1265627145

Doctor of Medicine (M.D.)

Doreen Kehoe , NP

Nurse Practitioner - Adult Health

NPI 1376521526

Nurse Practitioner

Angela Ring Scarboro , PA

Physician Assistant

NPI 1376614156

Physician Assistant

Dr. Roberto Romero , MD

Internal Medicine

NPI 1467834499

Doctor of Medicine (M.D.)

Samantha Soto , APRN

Nurse Practitioner

NPI 1861117129

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 31, 2025

Registered at 6413 WATERS AVE STE 102, SAVANNAH, GA 314062711 (Tel: 9123496624)

📍
Updated Business Mailing Address January 31, 2025

Registered at 6413 WATERS AVE STE 102, SAVANNAH, GA 314062711 (Tel: 9123496624)

👤
Provider Name / Credentials Updated January 31, 2025

Recorded as HAILEY STACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2025

Physician Assistant (License #12635 in GA)

NPI Profile Active June 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2020

Registered at 2455 SUTHERLAND AVE, KNOXVILLE, TN 379192355 (Tel: 8655445070)

📍
Updated Business Mailing Address June 29, 2020

Registered at 201 W SPRINGDALE AVE, KNOXVILLE, TN 379175158 (Tel: 8656379711)

👤
Provider Name / Credentials Updated June 29, 2020

Recorded as HAILEY STACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2020

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration June 29, 2020

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: 1033736764
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2020
Last Update: January 31, 2025
Sole Proprietor: No

Mailing Address

6413 Waters Ave Ste 102

Savannah, GA 314062711

Phone: 9123496624

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.