MEDICARE: CAROL C HAYNES FND MSN

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	207Q00000X	Family Medicine Physician	RN 33950	TN
2	363L00000X	Nurse Practitioner	APN0000005156	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	103I500676	OTHER	TN	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265420962
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL C HAYNES FND MSN

Provider Business Mailing Address
First Line	:	100 HERNDON DR
Second Line	:
City	:	BELLS
State	:	TN
Zip	:	38006-3659
Country	:	US
Telephone Number	:	731-661-0086
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 HERNDON DR
Second Line	:
City	:	BELLS
State	:	TN
Zip	:	38006-3659
Country	:	US
Telephone Number	:	731-661-0086
Fax Number	:

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

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	03/07/2023

Similar Medicare Providers

1245253087 — VICKY RICHARDS DPH
Practice Location Address:

150 HERNDON DR
BELLS, TN
38006-3659

Practice Phone: 731-663-2314
Practice Fax: 731-663-2792

1730426867 — MRS. APRIL BURLESON MSN, FNP-C
Practice Location Address:

1011 LOVE RD
BELLS, TN
38006-4023

Practice Phone: 731-345-0103
Practice Fax:

1053309062 — DR. FRANK STEVEN KAIL DDS
Practice Location Address:

6058 HIGHWAY 412 S
BELLS, TN
38006-3908

Practice Phone: 731-663-9999
Practice Fax: 731-663-0510

1972592566 — DR. JOSEPH M. LEONARD D.D.S.
Practice Location Address:

6058 HIGHWAY 412 S
BELLS, TN
38006-3908

Practice Phone: 731-663-9999
Practice Fax: 731-663-0510

1295724417 — DR. GREG N GROBMYER D.D.S.
Practice Location Address:

6058 HIGHWAY 412 S
BELLS, TN
38006-3908

Practice Phone: 731-663-9999
Practice Fax: 731-663-0510

1538128640 — BELLS FAMILY MEDICINE
Practice Location Address:

103 FRONT ST
BELLS, TN
38006

Practice Phone: 731-663-3794
Practice Fax: 731-663-3737

Directions to “ CAROL C HAYNES FND MSN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.