JOHNATHAN NATHANIEL HALEY CRNA
NPI 1780856047
Nurse Anesthetist, Certified Registered in Greenwood, SC
About Johnathan Nathaniel Haley Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHNATHAN NATHANIEL HALEY CRNA (NPI 1780856047) is an individual nurse anesthetist, certified registered in Greenwood, South Carolina, licensed in South Carolina (3511) and active in the NPI registry since March 2008. He is affiliated with St Mary's Hospital, maintains a secondary practice location in Greenwood, and is a graduate of Medical College Of Georgia School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Johnathan Nathaniel Haley Crna 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.
Medicare Billing Reassignments
3Medicare enrollment records show Johnathan Haley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greenwood, SC 29646
- Reassigned Medicare billing, South Carolina enrollment
- 560 clinicians in this Medicare group
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 64 clinicians in this Medicare group
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's Hospital
Acute Care Hospitals · Athens, GASelf Regional Healthcare
Acute Care Hospitals · Greenwood, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29646 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREENWOOD, SC 29646
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 Johnathan Haley's NPI number?
The NPI number for Johnathan Haley is 1780856047. It was assigned to this individual provider in the NPPES registry on March 27, 2008.
Where is Johnathan Haley located?
Johnathan Haley practices at 1325 Spring St, Greenwood, SC 29646. The listed phone number is (864) 725-4111.
What is Johnathan Haley's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Johnathan Haley enrolled in Medicare?
Yes. Johnathan Haley 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.
Which organizations bill Medicare for Johnathan Haley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnathan Haley reassigns Medicare benefits to 3 organizations: Self Medical Group (Greenwood, SC), Anesthesia Consultants Of Athens (Athens, GA) and Sentry Anesthesia Management, LLC (Newnan, GA). Each 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 Johnathan Haley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnathan Haley accept?
Health plans from Ambetter from Absolute Total Care and Ambetter of North Carolina list Johnathan Haley 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 Johnathan Haley affiliated with any hospitals?
According to CMS data, Johnathan Haley is affiliated with St Mary's Hospital and Self Regional Healthcare.
When was this NPI record last updated?
The NPPES record for Johnathan Haley was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Johnathan Nathaniel Haley, CRNA · NPI 1780856047
Nurse Anesthetist, Certified Registered physician in Greenwood, South Carolina. Individual provider, active in the CMS NPPES registry since March 27, 2008.
## Identity
- **NPI:** 1780856047 (Entity type: Individual)
- **Enumerated:** March 27, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 3511 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1325 SPRING ST, Greenwood, SC 29646-3860
- **Phone:** (864) 725-4111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Self Medical Group (NPI 1013579259, Greenwood, SC); Anesthesia Consultants Of Athens (NPI 1427005636, Athens, GA); Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Georgia School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** March 15, 2024
- **Other identifiers:** Medicaid AN1690 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1780856047) · Data from the CMS NPPES public registry.