Hillery Bavani, D.O.
Individual provider Active NPI Family Medicine Physician · Dacula, GA
NPI 1487073110 · NPPES record last updated May 4, 2021
Key facts
- NPI
- 1487073110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 82342 (GA)
- Practice address
- 852 Dacula Rd
Dacula, GA 30019-3185 - Phone
- (770) 848-9360
- NPI assigned
- Apr 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Georgia Physicians Group Urgent Care LLC
Practice addresses (Care Compare)
852 Dacula Rd
Dacula, GA 30019-3185
Phone (770) 848-9381
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190812000666 | GA | Practitioner - Hospitalist |
3870812514 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Family Medicine | Current |
Accepting new patients |
| Northeast Georgia Physicians Group Urgent Care LLC | Family Medicine | Current |
Accepting new patients |
Locations
1515 River Pl
Ste 100
Braselton, GA 30517
Phone (770) 848-6195
852 Dacula Rd
Dacula, GA 30019
Phone (770) 848-9360
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
Interoperability endpoints
- hbavani101638@nghs.gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102203694 | VA | |
| Hospitalist Physician | 208M00000X | 82342 | GA | |
| Family Medicine Physician | 207Q00000X | 82342 | GA | Yes |
Addresses
Primary practice location
852 Dacula Rd
Dacula, GA 30019-3185
Mailing address
PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420
Other names
- Miss Hillery Hall
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hbavani101638@nghs.gadirect.net | Direct |
Other providers in Dacula, GA
- Yashimabet Baronian
- Olivia Barroso
- Dayton Claire Barth
- Megan Bartlett
- Kate Anderson Bass
- Beauty in Mind Therapy
- Beauty in Mind Therapy LLC
- Chatarra Bell
- Letoria Bell
- Josephine Fatmata Belmoh
All providers in Dacula, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.