MRS. KEIANNA S HALEY (CNM) – Obstetrics & Gynecology Physician, NPI 1831699966
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. KEIANNA S HALEY (CNM)
3240 AVALON BLVD
CONYERS, GA 300136320
Phone: (770) 860-1133
Fax: (770) 860-1599
Type: Mailing
10692 MEDLOCK BRIDGE RD STE 100
JOHNS CREEK, GA 300978497
Phone: (404) 446-2497
Type: Location
3240 Avalon Blvd
Conyers, GA 300136320
Phone: (770) 860-1133
Fax: (770) 860-1599
Type: Location
6055 COURTSIDE DR
PEACHTREE CORNERS, GA 300922361
Phone: (347) 731-0787
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $217.
Total Amount is formed as General ($217) + Research ($0) + Ownership ($0) = $217.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Organon LLC ($217).
Total Amount
$217
General + Research + Ownership
Payments
2
Total payment records
General Amount
$217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $217 |
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: 2018-08-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180823001501 | I | Certified Nurse Midwife (Cnm) | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Certified Nurse Midwife (Cnm) | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA | |
| Certified Nurse Midwife (Cnm) | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | GA |
Reviews
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