Active NPI
Haley Hodoval
- Nurse Practitioner
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN282527
- Practice address
- 4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860 - Phone
- (678) 490-8300
- Fax
- (415) 252-7176
- NPI assigned
- Feb 6, 2020
- Last updated
- Apr 18, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN282527 | GA | Primary |
Addresses
Primary practice location
4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860
Mailing address
4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860
Other practice location 1
1130 Lake Washington Cir
Lawrenceville, GA 30043-6662
Phone (678) 447-5483
Other practice location 2
1250 Upper Hembree Rd Ste B
Roswell, GA 30076-4651
Phone (770) 558-2873
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Esop Rehabilitation LLCPhysiotherapy Associates Inc
Practice addresses (Care Compare)
1699 Hwy 124 N
Suite 100
Snellville, GA 30078-7921
Phone (678) 218-6702
4850 Sugarloaf Pkwy
Suite 101
Lawrenceville, GA 30044-2860
Phone (678) 490-8300
966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iora Health Georgia, P.C. | Current | Accepting new patients | |
| Iora Health Georgia, P.C. | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Iora Senior Health, LLC | Current | Accepting new patients | |
| Cerium Urgent Care | Primary Care | Past | Accepting new patients |
| Cerium Family Practice and Urgent Medicine, LLC | Primary Care | Past | Accepting new patients |
Locations
1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927
3527 Memorial Dr
Unit W
Decatur, GA 30032
Phone (404) 573-4844
4850 Sugarloaf Pkwy
Ste 101
Lawrenceville, GA 30044
Phone (678) 490-8300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBBDCD
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cerium Family Practice
- Primary Care Clinic/Center
- Tucker, GA
- NPI 1780280776
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1295367464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 SUGARLOAF PKWY STE 101",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300442860",
"fax_number": "415-252-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 SUGARLOAF PKWY STE 101",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300442860",
"telephone_number": "678-490-8300",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "1130 Lake Washington Cir",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300436662",
"country_code": "US",
"telephone_number": "678-447-5483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 Upper Hembree Rd Ste B",
"address_purpose": "LOCATION",
"city": "Roswell",
"state": "GA",
"postal_code": "300764651",
"country_code": "US",
"telephone_number": "770-558-2873",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODOVAL",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN282527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.