BYRON JAWON HATHORN (NP) – Nurse Practitioner, NPI 1023749231

BYRON JAWON HATHORN (NP) is a healthcare provider. based in Selma, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1-170721 (AL). The NPI Number for BYRON JAWON HATHORN (NP) is 1023749231

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
BYRON JAWON HATHORN (NP)
NPI
1023749231
Phone
(662) 803-4465
Address
3005 Citizens Pkwy
Enumeration Date
19 June 2022
Last Update Date
30 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053437300
Graduation Year
2022 (4 years ago)
PAC ID
2365819406
Group Practice PAC ID
1557686243
Professional Enrollment ID
I20221103000122
Address ID
AL352432331VE3070XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for BYRON JAWON HATHORN (NP)

  • 3005 Citizens Pkwy

    Selma, AL 367013918

    Phone: (662) 803-4465

    Type: Location

  • 3005 CITIZENS PKWY

    SELMA, AL 367013918

    Phone: (662) 803-4465

    Type: Mailing

  • 3070 HEALTHY WAY

    BIRMINGHAM, AL 352432331

    Phone: (205) 977-7216

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $540.

Total Amount is formed as General ($540) + Research ($0) + Ownership ($0) = $540.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($514).

Total Amount

$540

General + Research + Ownership

Payments

5

Total payment records

General Amount

$540

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221103000122INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes36397$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes32785$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes11762$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes8980$0
99315Nursing facility discharge day management, 30 minutes or less3029$0
View full utilization report →

Insurance plans in this area (ZIP 36701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557686243View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerMA
-AL
Nurse PractitionerAL
Nurse PractitionerFL
Nurse PractitionerAL
Nurse PractitionerCA
Nurse PractitionerAL

Reviews

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Frequently asked questions

What federal number belongs to BYRON JAWON HATHORN (NP)?
The federal identifier for BYRON JAWON HATHORN (NP) is NPI 1023749231.
Does this profile mean BYRON JAWON HATHORN (NP) is currently active?
Yes — BYRON JAWON HATHORN (NP) appears active in the national provider directory.
What does BYRON JAWON HATHORN (NP) treat or focus on?
Patients typically see BYRON JAWON HATHORN (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for BYRON JAWON HATHORN (NP)?
The page summarizes Selma, Alabama for BYRON JAWON HATHORN (NP); expand the address list for detail.
How can I contact BYRON JAWON HATHORN (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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