Healthcare Provider Details

I. General information

NPI: 1093743973
Provider Name (Legal Business Name): CECILIA KAY HAYES F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CECILIA KAY BURDETTE F.N.P.

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 SEASONS LN
HIAWASSEE GA
30546-3483
US

IV. Provider business mailing address

86 SEASONS LN
HIAWASSEE GA
30546-3483
US

V. Phone/Fax

Practice location:
  • Phone: 706-896-6701
  • Fax: 706-896-6706
Mailing address:
  • Phone: 706-896-6701
  • Fax: 706-896-6706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberGAA-NP003807
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number093055
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: