Individual
DR. JASON THADEOUS HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 PACES FERRY RD SE STE 500, ATLANTA, GA 30339-5714
(678) 395-7046
(844) 874-7569
Mailing address
6175 HICKORY FLAT HWY STE 110, CANTON, GA 30115-7236
(678) 395-7046
(844) 874-7569
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42706
TN
207R00000X
Internal Medicine Physician
61172
KY
207R00000X
Internal Medicine Physician
Primary
69293
GA
207R00000X
Internal Medicine Physician
M6181
TX
207R00000X
Internal Medicine Physician
MD.201342
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11809713
CAQH
GA
Enumeration date
08/22/2007
Last updated
01/29/2026
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