HOMETOWN HEALTHCARE OF BYRON LLC
NPI 1699430660
Nurse Practitioner - Family in Byron, GA

Q: What is Hometown Healthcare Of Byron LLC's NPI number?

The NPI number for Hometown Healthcare Of Byron LLC is 1699430660. It was assigned to this organization in the NPPES registry on November 4, 2021.

Q: What is Hometown Healthcare Of Byron LLC's specialty?

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

Active since November 04, 2021CLIA 11D2244760 · Waiver

103 MOSELEY RD, BYRON, GA 31008(478) 654-5327(478) 654-5218 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 12, 2021, Nov 4, 2021 (2 updates tracked since 2021).

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About Hometown Healthcare Of Byron Llc NPPES

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

HOMETOWN HEALTHCARE OF BYRON LLC (NPI 1699430660) is a healthcare organization registered as a family in Byron, Georgia and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Haley Pulliam, Member, as its authorized official.

NPPES Registry Identity

NPI1699430660

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameHOMETOWN HEALTHCARE OF BYRON LLC

Location Address103 MOSELEY RDByron, GA 31008-7148

Mailing AddressPo Box 2247Byron, GA 31008-2247 · (478) 654-5327 · Fax (478) 654-5218

Phone(478) 654-5327

Fax(478) 654-5218

Organization SubpartNo

Authorized OfficialHaley PulliamMember · (478) 654-5327

Enumeration DateNovember 4, 2021

Last NPPES UpdateNovember 12, 20212 updates tracked since enumeration

NPPES CertifiedNovember 12, 2021

✔ NPI 1699430660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

103 MOSELEY RD, Byron, GA 31008

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2244760

Hometown Healthcare Of Byron, LLC · Byron, GA

Active · expires Dec 5, 2027

CLIA Number11D2244760

Laboratory TypePractitioner Other

Certificate Effective DateDecember 6, 2025

Certificate Expiration DateDecember 5, 2027

Laboratory DirectorJennifer Smith

Laboratory Phone(478) 654-5327

Laboratory LocationHometown Healthcare Of Byron, LLC110 Jailhouse Aly, Byron, GA 31008

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Hometown Healthcare Of Byron LLC's NPI number?

The NPI number for Hometown Healthcare Of Byron LLC is 1699430660. It was assigned to this organization in the NPPES registry on November 4, 2021.

Where is Hometown Healthcare Of Byron LLC located?

Hometown Healthcare Of Byron LLC is located at 103 Moseley Rd, Byron, GA 31008. The listed phone number is (478) 654-5327.

What is Hometown Healthcare Of Byron LLC's specialty?

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

Does Hometown Healthcare Of Byron LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2244760) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hometown Healthcare Of Byron LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hometown Healthcare Of Byron LLC 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 Hometown Healthcare Of Byron LLC was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.