MEDICARE: CHELSEA LEIGHANNE HAYES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN-MP-300797	GA

General Provider Information

NPI Number	:	1083560312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA LEIGHANNE HAYES

Provider Business Mailing Address
First Line	:	156 HOLLIDAY RD
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30240-9538
Country	:	US
Telephone Number	:	762-308-1799
Fax Number	:

Provider Business Practice Location Address
First Line	:	1015 LAFAYETTE PKWY # 100
Second Line	:
City	:	LAGRANGE
State	:	GA
Zip	:	30241-3584
Country	:	US
Telephone Number	:	762-842-0221
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/13/2026

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Directions to “ CHELSEA LEIGHANNE HAYES ” Practice Location

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