HALEY ANDERSON (CAA) – Anesthesiologist Assistant, NPI 1043973043

HALEY ANDERSON (CAA) is a healthcare provider. based in Gainesville, Georgia. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials CAA. They hold a License No. 11197 (GA). The NPI Number for HALEY ANDERSON (CAA) is 1043973043

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
HALEY ANDERSON (CAA)
NPI
1043973043
Phone
(770) 532-7179
Address
1488 JESSE JEWELL PKWY SE STE 201
Enumeration Date
16 October 2021
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7705327179
Graduation Year
2022 (4 years ago)
PAC ID
9739556333
Group Practice PAC ID
2769381771
Professional Enrollment ID
I20221111000835
Address ID
GA305013715GA743XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for HALEY ANDERSON (CAA)

  • 1488 JESSE JEWELL PKWY SE STE 201

    GAINESVILLE, GA 305013804

    Phone: (770) 532-7179

    Type: Mailing

  • 743 SPRING ST NE

    GAINESVILLE, GA 305013715

    Phone: (770) 532-7179

    Type: Location

  • 6675 CORPORATE CENTER PKWY STE 115

    JACKSONVILLE, FL 322168088

    Phone: (904) 245-8910

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221111000835IAnesthesiology AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
00790Anesthesia for other procedure on upper abdomen1111$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769381771View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTN
Anesthesiology AssistantGA
Anesthesiology AssistantGA
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YGA
-GA
Anesthesiology, Critical Care (Intensivists)GA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Anesthesiology AssistantGA

Reviews

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Frequently asked questions

Can I cross-check HALEY ANDERSON (CAA) using NPI 1043973043?
NPI 1043973043 belongs to HALEY ANDERSON (CAA); compare other details if you need extra assurance.
Is HALEY ANDERSON (CAA) still an active registrant?
HALEY ANDERSON (CAA) carries an active NPI according to the public dataset.
What clinical focus is listed for HALEY ANDERSON (CAA)?
At a glance, HALEY ANDERSON (CAA) is tied to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
Where in Georgia is HALEY ANDERSON (CAA) registered?
Use Gainesville, Georgia as the headline location for HALEY ANDERSON (CAA) here.
Can I trust this NPI listing for HALEY ANDERSON (CAA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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