Hailey Dominy Stack, PA-C
Physician Assistant · Savannah, GA
Hailey Dominy Stack, PA-C is a physician assistant with a practice address in Savannah, Georgia, and NPI 1033736764, issued on Jun 29, 2020. Check the license (Georgia 12635, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Hailey Dominy Stack
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 12635 GA
Self-reported in NPPES; status is on the state search - Practice location
- 6413 Waters Ave Ste 102, Savannah, GA 31406
- Phone
- (912) 349-6624
- Enumerated
- Jun 29, 2020
- Record last updated
- Jan 31, 2025
- Fax
- (912) 352-4728
- Medicare enrollment
- Enrolled (PECOS I20250102002557); accepts Medicare assignment
- Medical or professional school
- Lincoln Memorial University Medical Department, 2024
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,662 in Georgia → Look up another NPI →
Also registered at 6413 Waters Ave Ste 102
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Angela Ring Scarboro, PAPhysician Assistant1376614156
- Roberto Romero, MDInternal Medicine Physician1467834499
- Samantha Soto, APRNNurse Practitioner1861117129
Verify Hailey Dominy Stack in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license 12635Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Internal Medicine OF Savannah, LLCSavannah, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Hailey Dominy Stack among 4,662 physician assistant records in Georgia
Hailey Dominy Stack, PA-C is one of 4,662 physician assistant records with a practice address in Georgia. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 61% of them.
- NPI issued2020 · 61% of these records are older, 34% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 59% of these records are
- Graduated2024 · median 2018 among the 2,761 with a school on file
- Record last updated2025 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
244 physician assistant records list a practice address in Savannah
They are 244 of the 5,692 NPPES records with a practice address in Savannah, and 4,662 physician assistant records in Georgia.
All 4,662 in Georgia → Every provider in Savannah → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- James Arnold, MPA, PA-CSavannah, GA 314061215936265
- Robert Bliesath, PASavannah, GA 314061194752287
- Elizabeth Brennan, P.A.Savannah, GA 314061710904727
- Harold Caraviello, PASavannah, GA 314061821033523
- Brandon Earehart, PACSavannah, GA 314061881701472
- Donald James, PA-CSavannah, GA 314061649256116
- Joseph Liebsack, PA-CSavannah, GA 314061336160233
- Kelly Lindley, PA-CSavannah, GA 314061740481993
Common questions
What is Hailey Dominy Stack, PA-C's NPI number?
Hailey Dominy Stack, PA-C's National Provider Identifier (NPI) is 1033736764, issued on Jun 29, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Hailey Dominy Stack, PA-C located?
The NPPES record lists a practice address at 6413 Waters Ave Ste 102, Savannah, GA, 31406. Phone: (912) 349-6624. Providers update this record themselves, so call before visiting.
How can I verify Hailey Dominy Stack, PA-C's license?
NPPES lists Georgia license number 12635, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.