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

Mr. Jared Michael Haley, CSA

Individual provider Surgical Assistant · NPI 1619438991

Mr. Jared Michael Haley, CSA is a Surgical Assistant in Woodstock, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

403 Woodchase Way
Woodstock, GA 30188-2052
Phone: (678) 956-1272
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5008
Surgical Assistant Taxonomy 246ZC0007X · Licence 5008

Record details

NPI number1619438991
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022
Mailing address403 Woodchase Way, Woodstock, GA 30188-2052

Other providers in Woodstock