Individual provider Active NPI

Autumn Rae Hall, MD

  • Obstetrics & Gynecology Physician
  • Hopkinsville, KY
National Provider Identifier
1003349879
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
58005 Issued in KY
Practice address
1717 High St Ste 4B
Hopkinsville, KY 42240-6300
Phone
(270) 887-9058
Fax
(270) 887-9341
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 58005 KY Primary
Obstetrics & Gynecology Physician 207V00000X TRN29212 FL

Addresses

Primary practice location

1717 High St Ste 4B
Hopkinsville, KY 42240-6300

Mailing address

1717 High St Ste 4B
Hopkinsville, KY 42240-6300
Phone (270) 887-9058

Other names 1

  • Dr. Autumn Rae Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713001787 KY Practitioner - Obstetrics/Gynecology 4385004035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Louisville School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

1717 High St
Suite 4B
Hopkinsville, KY 42240-6300
Phone (270) 887-9058

Hospital & facility affiliations

  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TP609KYMDInternal Medicine Physician
TRN29212FLMDObstetrics & Gynecology Physician
58005KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Aug 1, 2023 Accepting new patients
Jennie Stuart Medical Center Inc Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients

Locations

1717 High St
Ste 4B
Hopkinsville, KY 42240
Phone (270) 885-8003

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3346/brand/1/csg/21/fhir/r4
  • Direct secure messaging: asmith1011294@direct.deaconess.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1003349879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST STE 4B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-887-9058",
            "fax_number": "270-887-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST STE 4B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-887-9058",
            "fax_number": "270-887-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AUTUMN",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "58005",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "TRN29212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "SMITH",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.