Individual provider Active NPI

Stanley C Hall, MD

  • Urology Physician
  • Mount Pleasant, SC
National Provider Identifier
1003815259
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
20971 Issued in SC
Practice address
1122 Chuck Dawley Blvd Ste 200
Mt Pleasant, SC 29464-4183
Phone
(843) 884-8045
Fax
(843) 881-5081
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 20971 SC Primary

Addresses

Primary practice location

1122 Chuck Dawley Blvd Ste 200
Mt Pleasant, SC 29464-4183

Mailing address

PO Box 7927
Mobile, AL 36670-0927
Phone (843) 884-8045

Other identifiers 2

IdentifierTypeStateIssuer
T50432MedicaidSC
P00930471OtherSCRAILROAD MEDICARE ID-RSFPN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Stanley.Hall@rsfpp.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060725000125 SC Practitioner - Urology 5294748034 Reassigns benefits to 2 organizations
I20240926001381 NC Practitioner - Urology 5294748034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Associates of Charleston LLCGroup PAC ID 4082079496, 10 clinicians
Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

1122 Chuck Dawley Blvd
Suite 200
Mt Pleasant, SC 29464-4183
Phone (843) 884-8045

870 State Farm Rd
Suite 100
Boone, NC 28607-4862
Phone (828) 264-5150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9700275NCMDPsychiatry Physician
20971SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network Urology CurrentSince Dec 20, 2010 Accepting new patients
Appalachian Regional Medical Associates, Inc. Urology CurrentSince Aug 28, 2024 Accepting new patients
Urology Associates of Charleston LLC Urology CurrentSince Aug 1, 2023 Accepting new patients
Charleston Urology Associates, PA Urology Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Roper Saint Francis Physicians Network CurrentSince Dec 20, 2010 Accepting new patients

Locations

870 State Farm Rd
Ste 100
Boone, NC 28607
Phone (828) 264-5464

336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

125 Doughty St
Ste 680
Charleston, SC 29403
Phone (843) 577-6015

125 Doughty St
Ste 280
Charleston, SC 29403
Phone (843) 577-6957

8536 Palmetto Commerce Pkwy
Ste 401
Ladson, SC 29456
Phone (843) 203-2260

180 Wingo Way
Ste 304
Mt Pleasant, SC 29464
Phone (843) 402-1741

1122 Chuck Dawley Blvd
Ste 200
Mt Pleasant, SC 29464

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

Interoperability endpoints

  • Direct secure messaging: stanleyhall@uacharleston.allscriptsdirect.net
  • Direct secure messaging: stanley.hall@rsfpp.eclinicaldirectplus.com

Organizations & group practices 6

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 6

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1003815259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7927",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700927",
            "telephone_number": "843-884-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CHUCK DAWLEY BLVD STE 200",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644183",
            "telephone_number": "843-884-8045",
            "fax_number": "843-881-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "STANLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "20971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T50432",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID-RSFPN",
            "identifier": "P00930471",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Stanley.Hall@rsfpp.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Document and CCD Exchange",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Care Documents",
            "address_1": "180 Wingo Way",
            "address_2": "Suite 304",
            "city": "MT Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294641810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.