HAILEY DOMINY STACK PA-C
NPI 1033736764
Physician Assistant in Savannah, GA
NPI Status: Active since June 29, 2020
Contact Information
6413 WATERS AVE STE 102
SAVANNAH, GA
ZIP 31406
Phone: (912) 349-6624
Fax: (912) 352-4728
- Individual
- Female
- Physician Assistant
About HAILEY STACK
This page provides the complete NPI Profile along with additional information for Hailey Stack, a primary care provider established in Savannah, Georgia with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1033736764 assigned on June 2020. The practitioner's primary taxonomy code is 363A00000X with license number 12635 (GA). The provider is registered as an individual and her NPI record was last updated January 2025.
- NPI
- 1033736764
- Provider Name
- HAILEY DOMINY STACK PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6413 WATERS AVE STE 102 SAVANNAH, GA 31406
- Location Phone
- (912) 349-6624
- Location Fax
- (912) 352-4728
- Mailing Address
- 6413 WATERS AVE STE 102 SAVANNAH, GA 31406
- Mailing Phone
- (912) 349-6624
- Mailing Fax
- (912) 352-4728
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-29-2020
- Last Update Date
- 01-31-2025
- Code Navigator
A primary care provider (PCP) like Hailey Stack sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 12635
- License State
- GA
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 7 | 3 | 6 | 7 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 14 | 3 | 12 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 4 + 3 + 1 + 2 + 7 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1033736764 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1376614156 | ANGELA M RING SCARBORO PA Individual | Physician Assistant | 6413 WATERS AVE STE 102 SAVANNAH, GA 31406 (912) 349-6624 |
| 1861117129 | MRS. SAMANTHA SOTO APRN Individual | Nurse Practitioner | 6413 WATERS AVE STE 102 SAVANNAH, GA 31406 (912) 349-6624 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033736764, enumerated in the NPI registry as an "individual" on June 29, 2020
The provider is located at 6413 Waters Ave Ste 102 Savannah, Ga 31406 and the phone number is (912) 349-6624
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
This NPI record was last updated on June 29, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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