HALEY HODOVAL
NPI 1295367464
Nurse Practitioner in Lawrenceville, GA

Q: What is Haley Hodoval's NPI number?

The NPI number for Haley Hodoval is 1295367464. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Q: What is Haley Hodoval's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Haley Hodoval was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since February 06, 2020PECOS EnrolledAccepts Medicare Assignment

4850 SUGARLOAF PKWY STE 101, LAWRENCEVILLE, GA 30044(678) 490-8300(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2021, Oct 22, 2020, Sep 18, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Haley Hodoval NPPES

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

HALEY HODOVAL (NPI 1295367464) is an individual nurse practitioner in Lawrenceville, Georgia, licensed in Georgia (RN282527) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295367464

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameHALEY HODOVAL

Location Address4850 SUGARLOAF PKWY STE 101Lawrenceville, GA 30044-2860

Mailing Address4850 Sugarloaf Pkwy Ste 101Lawrenceville, GA 30044-2860 · Fax (415) 252-7176

Phone(678) 490-8300

Fax(415) 252-7176

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 6, 2020

Last NPPES UpdateApril 18, 20254 updates tracked since enumeration

NPPES CertifiedApril 18, 2025

✔ NPI 1295367464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN282527

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4850 SUGARLOAF PKWY STE 101, Lawrenceville, GA 30044

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Secondary Practice Locations 2

Location 11130 Lake Washington CirLawrenceville, GA 30043-6662 · Phone (678) 447-5483

Location 21250 Upper Hembree Rd Ste BRoswell, GA 30076-4651 · Phone (770) 558-2873

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haley Hodoval 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 ID1153857594

PECOS Enrollment IDI20241210000366

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30044 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 7

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

MARGARET GRIFA M.D.

Family Medicine