Hometown Healthcare of Byron LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOMETOWN HEALTHCARE OF BYRON LLC

Practice address

103 Moseley Rd
Byron, GA 31008-7148

Phone

(478) 654-5327

Fax

(478) 654-5218

NPI assigned

Nov 4, 2021

Last updated

Nov 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Haley Pulliam

Title

Member

Phone

(478) 654-5327

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHFCD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Root, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
  • NPI 1366290843
  Medicare reassignment Care Compare group NPD
• Jennifer Smith

  • Family Nurse Practitioner
  • Byron, GA
  • NPI 1023408291
  Medicare reassignment Care Compare group NPD
• Ellie Parrish Hall, FNP

  • Family Nurse Practitioner
  • Byron, GA
  • NPI 1295699288
  NPD (past)

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

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1699430660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2247",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310082247",
            "telephone_number": "478-654-5327",
            "fax_number": "478-654-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MOSELEY RD",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310087148",
            "telephone_number": "478-654-5327",
            "fax_number": "478-654-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTHCARE OF BYRON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-04",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "478-654-5327"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andel Anthony Higgins, MD
• Hannah Hilliard, COTA/L
• Skyler F Holcomb, D.M.D.
• Stephan F Holcomb, DMD
• Courtney Alexis Hollingsworth
• Hughes Consulting Joy Room
• Innovative Speech and Communications, LLC
• James a. Livingston, MD, PC
• Kylie Rae Joiner, FNP
• Tammy Jolly, NP-C

• Family Nurse Practitioner in Byron, GA
• Providers in Byron, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.