Individual provider Active NPI

Byerly Vaughn Ham, APRN, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1184008344
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN215879 Issued in GA
Practice address
4061 Vineville Ave
Macon, GA 31210-5039
Phone
(477) 394-0690
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN215879 GA Primary

Addresses

Primary practice location

4061 Vineville Ave
Macon, GA 31210-5039

Mailing address

1062 Forsyth St
Ste 1B
Macon, GA 31201-8638
Phone (478) 394-0690

Other practice location 1

4420 Forsyth Rd Ste 125
Macon, GA 31210-0538
Phone (478) 223-7448

Other identifiers 1

IdentifierTypeStateIssuer
RN215879OtherGAAPRN NURSING LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170919003466 GA Practitioner - Nurse Practitioner 8426322132 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Georgia Heart Center, PC CurrentSince Jul 10, 2017 Accepting new patients
Central Georgia Heart Center, PC Current Accepting new patients

Locations

2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225

1062 Forsyth St
Ste 1B
Macon, GA 31201
Phone (478) 743-7068

1062 Forsyth St
Ste 2D
Macon, GA 31201
Phone (478) 633-8379

750 N Cobb St
Ste 150
Milledgeville, GA 31061
Phone (478) 284-0670

750 N Cobb St
Ste 130
Milledgeville, GA 31061
Phone (478) 452-1024

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGEADD
  • Direct secure messaging: bham432876@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1184008344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 FORSYTH ST",
            "address_2": "STE 1B",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312018638",
            "telephone_number": "478-394-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105039",
            "telephone_number": "477-394-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Forsyth Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312100538",
            "country_code": "US",
            "telephone_number": "478-223-7448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAM",
        "first_name": "BYERLY",
        "middle_name": "VAUGHN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN215879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN NURSING LICENSE",
            "identifier": "RN215879",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.