Active NPI
Marshall Keavin Hulett, FNP-BC
- Family Nurse Practitioner
- Baxley, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN259642
- Practice address
- 162 Jekyll Rd
Baxley, GA 31513-1175 - Phone
- (478) 401-0477
- NPI assigned
- May 3, 2023
- Last updated
- Feb 3, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0032882788B | Medicaid | GA |
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN259642 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yurhealth, LLC | Current | Accepting new patients | |
| Yurhealth, LLC | Current | 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
- 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.
-
- Family Medicine Physician
- Millen, GA
- NPI 1104520477
-
- Family Medicine Physician
- Baxley, GA
- NPI 1316756927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba appling healthcare system
- General Acute Care Hospital
- Baxley, GA
- NPI 1861615304
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
- Matthew Hodges, FNP-BC
- Bryan Lanier Holmes Sr., PHD
- Leonard F Howard, MD
- Erica Paige Howell, PHARMD
- Cassandra M Hower
- Carrie Hunter, MT-BC
- Lynsey Sellers Hutchinson, M.ED CCC-SLP
- Timothy Charles Hutchinson Jr., LPC
- Innovation Therapy and Wellness, LLC (FYZICAL Therapy and Balance Centers)
- Mattie Jackson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.