Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Haley Hodoval

Individual provider Nurse Practitioner · NPI 1295367464

Haley Hodoval is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2019, 7 years ago. Practices with Esop Rehabilitation LLC, a 245-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2020
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Practice location Address checks out

4850 Sugarloaf Pkwy Ste 101
Lawrenceville, GA 30044-2860
Phone: (678) 490-8300
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1130 Lake Washington Cir, Lawrenceville, GA 30043-6662 — (678) 447-5483
  • 1250 Upper Hembree Rd Ste B, Roswell, GA 30076-4651 — (770) 558-2873

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN282527 (GA)

Record details

NPI number1295367464
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address4850 Sugarloaf Pkwy Ste 101, Lawrenceville, GA 30044-2860

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Esop Rehabilitation Llc — 245 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Lawrenceville