HALEY D JUSTUS (R.D., L.D.N.) – Registered Dietitian, NPI 1861896672

Registered Dietitian

HALEY D JUSTUS (R.D., L.D.N.) is a healthcare provider. based in Bingham farms, Michigan. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials R.D., L.D.N.. They hold a License No. 2544 (SC). The NPI Number for HALEY D JUSTUS (R.D., L.D.N.) is 1861896672

Main info

Female

15 Years Of Experience

Accepts Medicare Assignment

Name

HALEY D JUSTUS (R.D., L.D.N.)

NPI

1861896672

Phone

(313) 631-7878

Address

30700 Telegraph Rd Ste 1540

Enumeration Date

22 October 2014

Last Update Date

1 October 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9124961155

Graduation Year

2011 (15 years ago)

PAC ID

9638565633

Group Practice PAC ID

4385781467

Professional Enrollment ID

I20240402000188

Address ID

GA315378917FO2383XSTXX300

Telehealth

Yes

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience72

Completeness85

Years active:11State licenses:15Digital endpointsOther names

104 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in MI

Provider Addresses for HALEY D JUSTUS (R.D., L.D.N.)

30700 Telegraph Rd Ste 1540
Bingham Farms, MI 480255811
Phone: (313) 631-7878
Type: Location
8741 S Greenwood Ave Ste 106-108
Chicago, IL 606197061
Phone: (773) 920-2755
Fax: (844) 465-6341
Type: Location
4208 Six Forks Rd Ste 1000
Raleigh, NC 276095738
Phone: (919) 877-6800
Type: Location
9039 Springboro Pike Ste C
Miamisburg, OH 453425442
Phone: (513) 916-4128
Type: Location
1500 Walnut St Ste 603
Philadelphia, PA 191023516
Phone: (267) 754-8400
Type: Location
1320 Main St Ste 351
Columbia, SC 292013204
Phone: (980) 443-4852
Type: Location
5100 Poplar Ave Fl 27
Memphis, TN 381372701
Phone: (901) 625-5408
Type: Location
5605 N MacArthur Blvd Fl 10
Irving, TX 750382617
Phone: (972) 460-0910
Type: Location
100 HOSPITAL DR
HENDERSONVILLE, NC 287925272
Phone: (828) 691-2728
Type: Mailing
2810 Crossroads Dr Ste 4000
Madison, WI 537188014
Phone: (608) 492-2940
Type: Location
401 W Main St Ste 1810
Louisville, KY 402022927
Phone: (270) 240-2585
Fax: (877) 326-3531
Type: Location
3100 45th St Ste 3
Highland, IN 463223277
Phone: (888) 998-7337
Type: Location
201 N Illinois St # 1656
Indianapolis, IN 462041904
Phone: (720) 204-5760
Type: Location
2900 Westfork Dr Ste 401
Baton Rouge, LA 708270010
Phone: (504) 910-7878
Type: Location

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: 2024-05-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

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
I20220504001231	I	Registered Dietitian Or Nutrition Professional	IL	TBD
I20220517000001	I	Registered Dietitian Or Nutrition Professional	PA	TBD
I20220526001035	I	Registered Dietitian Or Nutrition Professional	NC	TBD
I20230706001984	I	Registered Dietitian Or Nutrition Professional	KY	TBD
I20240205001586	I	Registered Dietitian Or Nutrition Professional	LA	TBD
I20240402000188	I	Registered Dietitian Or Nutrition Professional	GA	TBD
I20240423003461	I	Registered Dietitian Or Nutrition Professional	SC	TBD
I20240508000405	I	Registered Dietitian Or Nutrition Professional	WI	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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48025)

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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: 4385781467View full group profile

Name	Specialty	State
JASMINE MARIE HAHN (FNP)	Nurse Practitioner	GA
MS. VICKY WHITTINGTON HANSON (ANP- BC)	Nurse Practitioner	GA
ASHLEIGH LEWIS JOHNSON (PAC)	Physician Assistant	GA
DR. MAGED EDWARD ABDELMALIK (M.D.)	Internal Medicine	GA
JOSE SALVADOR REYES OLIVA (MD)	Internal Medicine, Nephrology	NJ
WYNNE KENDRA LOTT (PA-C)	Physician Assistant	GA
NANCY SUE THOMPSON (M. D.)	N E P H R O L O G Y	GA
AHMED ELSHARKAWI (M.D.)	Nephrology, Internal Medicine	GA
MS. COLETTE E LEE-LEWIS (MD)	Internal Medicine, Nephrology	GA
REEJIS STEPHEN (M.D.)	N E P H R O L O G Y	GA

Reviews

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Frequently asked questions

What is the standard ID for HALEY D JUSTUS (R.D., L.D.N.) in the U.S.?

In the U.S., HALEY D JUSTUS (R.D., L.D.N.) is identified by NPI 1861896672.

Is HALEY D JUSTUS (R.D., L.D.N.)'s NPI status active today?

Active status means HALEY D JUSTUS (R.D., L.D.N.)'s NPI record is not deactivated in the public file.

How should patients interpret HALEY D JUSTUS (R.D., L.D.N.)'s specialty?

The extract shows Registered Dietitian for HALEY D JUSTUS (R.D., L.D.N.). Clinical services aligned with this taxonomy classification.

Is HALEY D JUSTUS (R.D., L.D.N.) tied to Bingham Farms, Michigan?

If you are local to Bingham Farms, Michigan, HALEY D JUSTUS (R.D., L.D.N.) may be relevant to your search.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.