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BYRON JAWON HATHORN NP
NPI 1023749231
Nurse Practitioner - Family in Birmingham, AL

Active since June 19, 2022PECOS EnrolledAccepts Medicare Assignment
3070 HEALTHY WAY, BIRMINGHAM, AL 35243(205) 977-7216 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2023, Oct 24, 2022, Oct 8, 2022 (3 updates tracked since 2022).

About Byron Jawon Hathorn Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BYRON JAWON HATHORN NP (NPI 1023749231) is an individual family provider in Birmingham, Alabama, licensed in Alabama (1-170721) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Selma, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1023749231
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBYRON JAWON HATHORNCredential: NP
Location Address3070 HEALTHY WAYBirmingham, AL 35243-2331
Mailing Address3070 Healthy WayBirmingham, AL 35243-2331 · (205) 977-7216
Phone(205) 977-7216
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 19, 2022
Last NPPES UpdateJanuary 30, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
✔ NPI 1023749231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-170721
3070 HEALTHY WAY, Birmingham, AL 35243
Open in Google Maps ↗

Secondary Practice Location 1

Location 13005 Citizens PkwySelma, AL 36701-3918 · Phone (662) 803-4465

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Byron Jawon Hathorn Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365819406
PECOS Enrollment IDI20221103000122
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Byron Hathorn reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern Np Associates, LLC
49 mi
Adult Health
931 FAIRFAX PARK
Tuscaloosa, AL 35406
  • Reassigned Medicare billing, Alabama enrollment
  • 69 clinicians in this Medicare group
NPI 1407257447 (205) 391-3600
Alabama Mso LLC
52 mi
Family Medicine
401 ARNOLD ST NE
Cullman, AL 35055
  • Reassigned Medicare billing, Alabama enrollment
  • 38 clinicians in this Medicare group
NPI 1740073980 (212) 734-6621
Russellville Hospital Inc
92 mi
Family Medicine
15225 HIGHWAY 43 STE B
Russellville, AL 35653
  • Reassigned Medicare billing, Alabama enrollment
  • 138 clinicians in this Medicare group
NPI 1780232314 (256) 331-2700
Alabama Post-Acute Medical Service 1 PC
121 mi
Hospitalist
1720 KNOWLES RD
Phenix City, AL 36869
  • Reassigned Medicare billing, Alabama enrollment
  • 53 clinicians in this Medicare group
NPI 1073052403 (305) 447-4150
Cs Pacs 3 Southeast, LLC
408 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Alabama enrollment
  • 51 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Signify Health, LLC
586 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Alabama enrollment
  • 456 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Medical Director Services PC
701 mi
Geriatric Medicine
11974 EDGEHILL TERRACE RD
Princess Anne, MD 21853
  • Reassigned Medicare billing, Alabama enrollment
  • 30 clinicians in this Medicare group
NPI 1871955807 (212) 734-6621
Nm Pacs 2 LLC
1,137 mi
Hospitalist
10101 LAGRIMA DE ORO RD NE
Albuquerque, NM 87111
  • Reassigned Medicare billing, Alabama enrollment
  • 49 clinicians in this Medicare group
NPI 1366928749 (865) 693-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
485 services109 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
474 services121 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
107 services85 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
64 services27 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
59 services26 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
51 services50 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OAK MOUNTAIN GROUP SERVICES, LLC
Physical Medicine & Rehabilitation
3070 HEALTHY WAY
VESTAVIA HILLS, AL 35243
Jefferson County (205) 977-7216
ASPIRE PHYSICAL RECOVERY CENTER AT CAHABA RIVER, LLC
Skilled Nursing Facility
3070 HEALTHY WAY
VESTAVIA, AL 35243
Jefferson County (205) 977-7216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Byron Hathorn's NPI number?

The NPI number for Byron Hathorn is 1023749231. It was assigned to this individual provider in the NPPES registry on June 19, 2022.

Where is Byron Hathorn located?

Byron Hathorn practices at 3070 Healthy Way, Birmingham, AL 35243. The listed phone number is (205) 977-7216.

What is Byron Hathorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Byron Hathorn enrolled in Medicare?

Yes. Byron Hathorn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Byron Hathorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Byron Hathorn reassigns Medicare benefits to 8 organizations: Southern Np Associates, LLC (Tuscaloosa, AL), Alabama Mso LLC (Cullman, AL), Russellville Hospital Inc (Russellville, AL), Alabama Post-Acute Medical Service 1 PC (Phenix City, AL), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Byron Hathorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Byron Hathorn accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Byron Hathorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Byron Hathorn was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.