Healthcare Provider Details

I. General information

NPI: 1548191273
Provider Name (Legal Business Name): HAILEY ADAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SPRING ST
WARNER ROBINS GA
31088-3938
US

IV. Provider business mailing address

122 W FORSYTH ST
AMERICUS GA
31709-3561
US

V. Phone/Fax

Practice location:
  • Phone: 229-591-4000
  • Fax:
Mailing address:
  • Phone: 229-591-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: