Haley Vaughan Stapleton, is a medicare enrolled "Nurse Practitioner - Family" in Alto, Georgia. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Little Mountain Clinic Llc, Southeastern Medical Specialists, Llc and her current practice location is
7505 Tribble Gap Rd, Alto, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 499-2319.
Haley Vaughan Stapleton is licensed to practice in Georgia (license number RN272683) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053854752.
Provider's Profile
| Full Name | Haley Vaughan Stapleton |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 7505 Tribble Gap Rd, Alto, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Haley Vaughan Stapleton graduated from nursing school in 2016
NPI Data:
- NPI Number: 1053854752
- Provider Enumeration Date: 11/29/2016
- Last Update Date: 10/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335420454
- Enrollment ID: I20180503001277
Medical Identifiers
Medical identifiers for Haley Vaughan Stapleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053854752 | NPI | - | NPPES |
| 1053854752 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 1-143627 (Alabama) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | RN272683 (Georgia) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | RN272683 (Georgia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Little Mountain Clinic Llc | 2860844420 | 3 |
| Southeastern Medical Specialists, Llc | 8527401777 | 10 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Haley Vaughan Stapleton allows following entities to bill medicare on her behalf.
| Entity Name | Little Mountain Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427825579
PECOS PAC ID: 2860844420
Enrollment ID: O20240118003793 |
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| Entity Name | Southeastern Medical Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801578638
PECOS PAC ID: 8527401777
Enrollment ID: O20240205003960 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haley Vaughan Stapleton is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Haley Vaughan Stapleton,
7505 Tribble Gap Rd,
Alto, GA 30510-2113
Ph: (706) 499-2319 | Haley Vaughan Stapleton,
7505 Tribble Gap Rd,
Alto, GA 30510-2113
Ph: (706) 499-2319 |
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