HALEY HODOVAL – Nurse Practitioner, NPI 1295367464
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for HALEY HODOVAL
1250 UPPER HEMBREE RD STE B
ROSWELL, GA 300764651
Phone: (770) 558-2873
Type: Mailing
4850 SUGARLOAF PKWY STE 101
LAWRENCEVILLE, GA 300442860
Phone:
Fax: (415) 252-7176
Type: Mailing
1250 Upper Hembree Rd Ste B
Roswell, GA 300764651
Phone: (770) 558-2873
Type: Location
1130 Lake Washington Cir
Lawrenceville, GA 300436662
Phone: (678) 447-5483
Type: Location
2260 NORTHLAKE PKWY STE 300
TUCKER, GA 300844006
Phone: (404) 297-3440
Type: Mailing
2260 NORTHLAKE PKWY
SUITE 300
TUCKER, GA 30084
Phone: (404) 297-3440
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 129 Open Payments records for all available years, with a total value of $2,367.
Total Amount is formed as General ($2,367) + Research ($0) + Ownership ($0) = $2,367.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($507).
Total Amount
$2,367
General + Research + Ownership
Payments
129
Total payment records
General Amount
$2,367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $507 |
| Novo Nordisk Inc | $427 |
| Lilly USA, LLC | $355 |
| GlaxoSmithKline, LLC. | $130 |
| PFIZER INC. | $107 |
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: 2024-12-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241210000366 | I | Nurse Practitioner | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30076)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine | GA | |
| Nurse Practitioner | GA | |
| Mental Health Counselor | GA | |
| Nurse Practitioner | GA | |
| Family Practice | IL | |
| Nurse Practitioner | SC | |
| Internal Medicine, Geriatric Medicine | GA | |
| Physician Assistant | GA | |
| Nurse Practitioner | CA |
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