Provider Demographics
NPI:1790880318
Name:HAYS, JAMIE SHAY (PA, AA-C)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:SHAY
Last Name:HAYS
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Gender:F
Credentials:PA, AA-C
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Mailing Address - Street 1:1509 WOODLAWN RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30014-8875
Mailing Address - Country:US
Mailing Address - Phone:770-788-9081
Mailing Address - Fax:770-788-9867
Practice Address - Street 1:1133 EAGLES LANDING PKWY
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5085
Practice Address - Country:US
Practice Address - Phone:770-389-2200
Practice Address - Fax:770-237-1124
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2021-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA003894367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA556288499CMedicaid