HAILEY DOMINY STACK PA-C
NPI 1033736764
Physician Assistant in Savannah, GA
About Hailey Dominy Stack Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAILEY DOMINY STACK PA-C (NPI 1033736764) is an individual physician assistant in Savannah, Georgia, licensed in Georgia (12635) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Candler Hospital, and is a graduate of Lincoln Memorial University Medical Department (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hailey Dominy Stack Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Candler Hospital
Acute Care Hospitals · Savannah, GAMemorial University Medical Center
Acute Care Hospitals · Savannah, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Hailey Stack's NPI number?
The NPI number for Hailey Stack is 1033736764. It was assigned to this individual provider in the NPPES registry on June 29, 2020.
Where is Hailey Stack located?
Hailey Stack practices at 6413 Waters Ave Ste 102, Savannah, GA 31406. The listed phone number is (912) 349-6624.
What is Hailey Stack's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Hailey Stack enrolled in Medicare?
Yes. Hailey Stack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Hailey Stack accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hailey Stack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Hailey Stack affiliated with any hospitals?
According to CMS data, Hailey Stack is affiliated with Candler Hospital and Memorial University Medical Center.
When was this NPI record last updated?
The NPPES record for Hailey Stack was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Hailey Dominy Stack, PA-C · NPI 1033736764
Physician Assistant physician in Savannah, Georgia. Individual provider, active in the CMS NPPES registry since June 29, 2020.
## Identity
- **NPI:** 1033736764 (Entity type: Individual)
- **Enumerated:** June 29, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 12635 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 6413 WATERS AVE STE 102, Savannah, GA 31406-2711
- **Phone:** (912) 349-6624 · **Fax:** (912) 352-4728
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Lincoln Memorial University Medical Department, class of 2024
## Record status
- **NPPES last updated:** January 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033736764) · Data from the CMS NPPES public registry.