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REBECCA HAYNES CPNP
NPI 1629508783
Nurse Practitioner - Pediatrics in Monroe, GA

Active since June 12, 2017
80 PARKER DR, MONROE, GA 30656(678) 381-2630(678) 381-2627 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2024, Aug 4, 2020, Nov 13, 2017 and 1 more (4 updates tracked since 2017).

About Rebecca Haynes Cpnp NPPES

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

REBECCA HAYNES CPNP (NPI 1629508783) is an individual pediatrics provider in Monroe, Georgia, licensed in Georgia (APRN-NP209240) and active in the NPI registry since June 2017. She maintains a secondary practice location in Loganville.

NPPES Registry Identity

NPI1629508783
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameREBECCA HAYNESCredential: CPNP
Location Address80 PARKER DRMonroe, GA 30656-4747
Mailing Address297 Cooper RdLoganville, GA 30052-2518 · (783) 812-6306 · Fax (678) 381-2627
Phone(678) 381-2630
Fax(678) 381-2627
Sole ProprietorNo
Enumeration DateJune 12, 2017
Last NPPES UpdateOctober 14, 20254 updates tracked since enumeration
NPPES CertifiedOctober 14, 2025
✔ NPI 1629508783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · APRN-NP209240
Also ListedRegistered NurseTaxonomy 163W00000X · License 209240 (GA)
80 PARKER DR, Monroe, GA 30656
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Other Names 1

Former Name (1)Rebecca Ellenberger Cpnp

Secondary Practice Location 1

Location 1297 Cooper RdLoganville, GA 30052-2518 · Phone (678) 381-2627

Other Identifiers 1

Medicaid003191294BGA

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET ELLINGTON CPNP, MSN
Nurse Practitioner (Pediatrics)
80 PARKER DR
MONROE, GA 30656
Walton County (678) 381-2630
LACY ELIZABETH LALLY DNP, FNP-C
Nurse Practitioner (Family)
80 PARKER DR
MONROE, GA 30656
Walton County (678) 381-2630
JENNA PARSONS CPNP-PC
Nurse Practitioner (Pediatrics)
80 PARKER DR
MONROE, GA 30656
Walton County (678) 381-2630
MRS. SHANON RENEE PHILLIPS CPNP
Nurse Practitioner (Pediatrics)
80 PARKER DR
MONROE, GA 30656
Walton County (678) 381-2630

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 Rebecca Haynes's NPI number?

The NPI number for Rebecca Haynes is 1629508783. It was assigned to this individual provider in the NPPES registry on June 12, 2017. The provider is also known as Rebecca Ellenberger Cpnp.

Where is Rebecca Haynes located?

Rebecca Haynes practices at 80 Parker Dr, Monroe, GA 30656. The listed phone number is (678) 381-2630.

What is Rebecca Haynes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Rebecca Haynes was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.