Provider Demographics
NPI:1184110587
Name:HAYMES-PAYNE, HEATHER WHYTE (NP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:WHYTE
Last Name:HAYMES-PAYNE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:461 LANTERN WOOD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30079-6800
Mailing Address - Country:US
Mailing Address - Phone:404-226-6952
Mailing Address - Fax:
Practice Address - Street 1:5550 PEACHTREE PKWY STE 150
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2560
Practice Address - Country:US
Practice Address - Phone:770-558-6202
Practice Address - Fax:678-580-3295
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN184620163W00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse