HALEY HODOVAL
NPI 1295367464
Nurse Practitioner in Lawrenceville, GA
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
Specialties & Licenses
Secondary Practice Locations 2
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Haley Hodoval reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lawrenceville, GA 30044
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Iora Health Georgia PC
- 38 clinicians in this Medicare group
Lawrenceville, GA 30044
- Reassigned Medicare billing, Georgia enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAPhysician 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30044
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 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.
Where is Haley Hodoval located?
Haley Hodoval practices at 4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044. The listed phone number is (678) 490-8300.
What is Haley Hodoval's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Haley Hodoval enrolled in Medicare?
Yes. Haley Hodoval 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 Haley Hodoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Haley Hodoval reassigns Medicare benefits to 2 organizations: Iora Health Georgia, P.C. (Lawrenceville, GA) and Iora Senior Health, LLC (Lawrenceville, GA). 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 Haley Hodoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Haley Hodoval affiliated with any hospitals?
According to CMS data, Haley Hodoval is affiliated with Northside Hospital Gwinnett.
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 18 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.
# Haley Hodoval · NPI 1295367464
Nurse Practitioner physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since February 6, 2020.
## Identity
- **NPI:** 1295367464 (Entity type: Individual)
- **Enumerated:** February 6, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN282527 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4850 SUGARLOAF PKWY STE 101, Lawrenceville, GA 30044-2860
- **Phone:** (678) 490-8300 · **Fax:** (415) 252-7176
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Iora Health Georgia, P.C. (NPI 1700370475, Lawrenceville, GA); Iora Senior Health, LLC (NPI 1336628908, Lawrenceville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** April 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1295367464) · Data from the CMS NPPES public registry.