Active NPI
Andrea R Hall, APRN
- Adult Health Nurse Practitioner
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 21470
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-2008 - Phone
- (843) 792-1414
- NPI assigned
- Nov 2, 2017
- Last updated
- Nov 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 21470 | SC | Primary |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-2008
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Phone (843) 792-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Beaufort County Memorial Hospital
Practice addresses (Care Compare)
1680 Ribaut Rd
Port Royal, SC 29935-2008
Phone (843) 524-8171
1925 Hoffmeyer Rd
Florence, SC 29501-4011
Phone (843) 413-6925
300 Midtown Dr
Beaufort, SC 29906-5200
Phone (843) 770-0404
506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290
805 Pamplico Hwy
Florence, SC 29505-6047
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.41 of 100
- Quality
- 64.93
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21470 | SC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Carolina Family Care, Inc | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Current | Accepting new patients | |
| Musc Community Physicians | Current | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Beaufort County Memorial Hospital | Past | Accepting new patients | |
| Regional Medical Center of Orangeburg and Calhoun Counties | Past | Accepting new patients |
Locations
506 North St
Bamberg, SC 29003
Phone (803) 245-6290
1055 Ribaut Rd
Ste 30
Beaufort, SC 29902
Phone (843) 476-4702
300 Midtown Dr
Beaufort, SC 29906
Phone (843) 379-7746
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
955 Ribaut Rd
#C
Beaufort, SC 29902
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175
1680 Ribaut Rd
Port Royal, SC 29935
Phone (843) 522-7600
Interoperability endpoints
- ahall302515@direct.musc.edu
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba MUSC Community Physicians Specialty
- Internal Medicine Physician
- Bamberg, SC
- NPI 1841878006
-
- Internal Medicine Physician
- Beaufort, SC
- NPI 1598713117
-
dba Beaufort Memorial Emergency Medicine Physicians
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
dba MUSC Physicians PCP
- Family Medicine Physician
- Charleston, SC
- NPI 1184655722
-
dba Beaufort Memorial Hospital
- General Acute Care Hospital
- Beaufort, SC
- NPI 1063596443
-
- Specialist
- Varnville, SC
- NPI 1366676769
-
dba MUSC Physicians PC
- Internal Medicine Physician
- Lancaster, SC
- NPI 1275564098
-
dba MUSC Health Primary Care - Bowman
- Rural Health Clinic/Center
- Bowman, SC
- NPI 1225735772
-
dba MUSC Community Physicians PC
- Family Medicine Physician
- Bamberg, SC
- NPI 1992383145
-
- Orthopaedic Surgery Physician
- Port Royal, SC
- NPI 1053647164
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
-
dba RMC Pharmacy
- Community/Retail Pharmacy
- Orangeburg, SC
- NPI 1467709881
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1184197683
-
dba MUSC Health Black River Medical Center
- General Acute Care Hospital
- Cades, SC
- NPI 1841914298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1023520715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461",
"telephone_number": "843-792-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ASHLEY AVE",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294252008",
"telephone_number": "843-792-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANDREA",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-02",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SC",
"license": "21470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.