Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marcus Johnson Haynes

Individual provider Physical Therapist · NPI 1295061703

Dr. Marcus Johnson Haynes is a Physical Therapist in Private Practice in Brookhaven, Georgia. Qualified in 2009, 17 years ago. Practices with Agilitas USA, Inc, a 810-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia, Tennessee and Texas.

Years since qualifying
17
Licensed in
GA, TN, TX
In the registry since
2009
Specialties on file
3

Practice location Address checks out

705 Town Blvd NE Ste S550
Brookhaven, GA 30319-7216
Phone: (404) 869-1912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4854 Beechnut St, Houston, TX 77096-1604 — (713) 660-0663

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT013707 (GA)
Physical Therapist Taxonomy 225100000X · Licence 1192799 (TX)
Physical Therapist Taxonomy 225100000X · Licence 8470 (TN)

Record details

NPI number1295061703
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2009
Last updated in NPPESJuly 14, 2021
Certification dateJuly 14, 2021
Mailing address6397 Lee Hwy, Chattanooga, TN 37421-2564

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Brookhaven