NPIMap

Organization Active NPI

Zack Hall, MD PLLC

  • Internal Medicine Physician
  • Reidsville, NC
National Provider Identifier
1003075219
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ZACK HALL, MD PLLC
Practice address
217 Turner Dr Ste F
Reidsville, NC 27320-5754
Phone
(336) 342-6060
Fax
(336) 342-6068
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Zachariah Hall II, MDNPI 1215961180
Title
Physician/Owner
Phone
(336) 342-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

217 Turner Dr Ste F
Reidsville, NC 27320-5754

Mailing address

217 Turner Dr Ste F
Reidsville, NC 27320-5754
Phone (336) 342-6060

Other identifiers 1

IdentifierTypeStateIssuer
5907415MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081120000104 NC Part B Supplier - Clinic/Group Practice 9739249772 Receives reassigned benefits from 9 practitioners
Practice locations: Reidsville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D1089123Zack Hall MD PLLC217 Turner Drive, Suite F, Reidsville, NC 27320Provider-performed microscopySep 10, 2026

National Provider Directory

National Provider Directory

Locations

217 Turner Dr
Reidsville, NC 27320

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25214/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1003075219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 TURNER DR STE F",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205754",
            "telephone_number": "336-342-6060",
            "fax_number": "833-941-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 TURNER DR STE F",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205754",
            "telephone_number": "336-342-6060",
            "fax_number": "336-342-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACK HALL, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ZACHARIAH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "336-342-6060",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907415",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.