Provider Demographics
NPI:1235575366
Name:HAYES, JOSHUA DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:DANIEL
Last Name:HAYES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:920 CHURCH ST N
Practice Address - Street 2:SUITE 255
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-2927
Practice Address - Country:US
Practice Address - Phone:704-403-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-15
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-00808208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNPB594Medicaid
NC1134466790Medicaid
NC1275968620Medicaid
NC1285055947Medicaid
NC1114348802Medicaid
NC1326480310Medicaid
NC1447573829Medicaid
SCNPB585Medicaid
NC1093038887Medicaid
SCNPB628Medicaid
SCQ0080YMedicaid
NC1306855846Medicaid
NC1881033009Medicaid
NC1902249097Medicaid
NC1235575366Medicaid
NC1538482914Medicaid
SCNPB730Medicaid
NC1366799249Medicaid
SCNPB132Medicaid
SCNPB491Medicaid
SCNPB582Medicaid
NC1003104183Medicaid
NC1124404405Medicaid
NC1396166088Medicaid
SCNPB746Medicaid
SCNPB508Medicaid
NC1134466790Medicaid
NC1285055947Medicaid