Individual provider Active NPI

Marshall Keavin Hulett, FNP-BC

  • Family Nurse Practitioner
  • Baxley, GA
National Provider Identifier
1932898210
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN259642 Issued in GA
Practice address
162 Jekyll Rd
Baxley, GA 31513-1175
Phone
(478) 401-0477
NPI assigned
May 3, 2023
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 RN259642 GA Primary

Addresses

Primary practice location

162 Jekyll Rd
Baxley, GA 31513-1175

Mailing address

PO Box 794
Baxley, GA 31515-0794
Phone (478) 401-0477

Other identifiers 1

IdentifierTypeStateIssuer
0032882788BMedicaidGA

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
I20230731000378 GA Practitioner - Nurse Practitioner 5193186716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yurhealth LLCGroup PAC ID 6901263151, 7 clinicians

Practice addresses (Care Compare)

162 Jekyll Rd
Baxley, GA 31513-1175
Phone (478) 401-0477

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN259642GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yurhealth, LLC CurrentSince Aug 1, 2025 Accepting new patients
Yurhealth, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

162 Jekyll Rd
Baxley, GA 31513
Phone (478) 401-0477

1121 Highway 25 N
Millen, GA 30442
Phone (478) 401-0477

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1932898210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 794",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315150794",
            "telephone_number": "478-401-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 JEKYLL RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315131175",
            "telephone_number": "478-401-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULETT",
        "first_name": "MARSHALL",
        "middle_name": "KEAVIN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN259642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032882788B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

Verify at the official NPI Registry.