Active NPI
Kyler Gator Hazelett, PHARMD
- Ambulatory Care Pharmacist
- Toccoa, GA
National Provider Identifier
1023882479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RPH033680
- Practice address
- 58 Big a Rd
Toccoa, GA 30577-6017 - Phone
- (706) 886-3148
- NPI assigned
- Nov 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RPH033680 | GA | Primary |
Addresses
Primary practice location
58 Big a Rd
Toccoa, GA 30577-6017
Mailing address
3137 Frontage Rd
Gainesville, GA 30504-8210
Phone (770) 219-8400
Other practice location 1
12192 Augusta Rd
Lavonia, GA 30553-1209
Phone (706) 356-1072
Other practice location 2
2578 Helen Hwy
Cleveland, GA 30528-2848
Phone (770) 219-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033680 | GA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Medical Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1023882479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3137 FRONTAGE RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305048210",
"telephone_number": "770-219-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BIG A RD",
"city": "TOCCOA",
"state": "GA",
"postal_code": "305776017",
"telephone_number": "706-886-3148"
}
],
"practiceLocations": [
{
"address_1": "12192 Augusta Rd",
"address_purpose": "LOCATION",
"city": "Lavonia",
"state": "GA",
"postal_code": "305531209",
"country_code": "US",
"telephone_number": "706-356-1072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2578 Helen Hwy",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "GA",
"postal_code": "305282848",
"country_code": "US",
"telephone_number": "770-219-9100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAZELETT",
"first_name": "KYLER",
"middle_name": "GATOR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "GA",
"license": "RPH033680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.