LOGAN HALEY DO
NPI 1558100537
General Practice in Lynchburg, VA

Q: What is Logan Haley's NPI number?

The NPI number for Logan Haley is 1558100537. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Q: What is Logan Haley's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Logan Haley was last updated on May 21, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 21, 2024PECOS Enrolled

2323 MEMORIAL AVE STE 10, LYNCHBURG, VA 24501(434) 200-5200(434) 200-6145 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Logan Haley Do NPPES

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

LOGAN HALEY DO (NPI 1558100537) is an individual general practice provider in Lynchburg, Virginia, licensed in Virginia (116039093) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558100537

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameLOGAN HALEYCredential: DO

Location Address2323 MEMORIAL AVE STE 10Lynchburg, VA 24501-2652

Mailing Address2323 Memorial Ave Ste 10Lynchburg, VA 24501-2652 · (434) 200-5200 · Fax (434) 200-6145

Phone(434) 200-5200

Fax(434) 200-6145

Sole ProprietorNo

Enumeration DateMay 21, 2024

NPPES CertifiedMay 21, 2024

✔ NPI 1558100537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 116039093

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

2323 MEMORIAL AVE STE 10, Lynchburg, VA 24501

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Haley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.