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BRENT HAYDEN, M.D.,P.A.
NPI 1326373606
General Practice in Lake City, FL

Active since October 05, 2009CLIA 10D0266982 · Waiver
733 SW STATE ROAD 47, LAKE CITY, FL 32025(386) 755-0645(386) 961-9541 Get Directions Write a Review

NPPES record last updated: December 18, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brent Hayden, M.d.,p.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENT HAYDEN, M.D.,P.A. (NPI 1326373606) is a healthcare organization registered as a general practice in Lake City, Florida and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Donald Brent Hayden, President, as its authorized official.

NPPES Registry Identity

NPI1326373606
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBRENT HAYDEN, M.D.,P.A.
Location Address733 SW STATE ROAD 47Lake City, FL 32025-0453
Mailing Address733 Sw State Road 47Lake City, FL 32025-0453 · (386) 755-0645 · Fax (386) 961-9541
Phone(386) 755-0645
Fax(386) 961-9541
Organization SubpartNo
Authorized OfficialDonald Brent HaydenPresident · (386) 755-0645
Enumeration DateOctober 5, 2009
Last NPPES UpdateDecember 18, 2012
✔ NPI 1326373606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
733 SW STATE ROAD 47, Lake City, FL 32025
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Other Identifiers 4

Medicare UPINE34632FL
Medicaid041891900FL
Other12066FL · Medicare Id-type Unspecified
OtherME0043394FL · State Licence Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brent Hayden, M.d.,p.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brent Hayden, M.D.,p.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Hayden, MD
General Practice
NPI 1013061456
733 SW STATE ROAD 47
Lake City, FL 32025
(386) 755-0645
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0266982

Brent Hayden MD PA · Lake City, FL
Active · expires Oct 31, 2027
CLIA Number10D0266982
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorBrent Hayden
Laboratory Phone(386) 755-0645
Laboratory LocationBrent Hayden MD PA733 SW Sr 47, Lake City, FL 32025
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Brent Hayden, M.D.,p.A.'s NPI number?

The NPI number for Brent Hayden, M.D.,p.A. is 1326373606. It was assigned to this organization in the NPPES registry on October 5, 2009.

Where is Brent Hayden, M.D.,p.A. located?

Brent Hayden, M.D.,p.A. is located at 733 SW State Road 47, Lake City, FL 32025. The listed phone number is (386) 755-0645.

What is Brent Hayden, M.D.,p.A.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Brent Hayden, M.D.,p.A. enrolled in Medicare?

Yes. Brent Hayden, M.D.,p.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brent Hayden, M.D.,p.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Brent Hayden, M.D.,p.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brent Hayden, M.D.,p.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0266982) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brent Hayden, M.D.,p.A. was last updated on December 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.