Wayne E Hall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5833 S Goldenrod Rd Ste 5C&D
Orlando, FL 32822-8777

Phone

(407) 810-8777

Fax

(407) 658-0721

NPI assigned

Dec 8, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medfast Urgent Care Centers LLCGroup PAC ID 1052418837, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Medfast Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1285735605
  Medicare reassignment Care Compare group
• Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Port Orange, FL
  • NPI 1174262232
  NPD
• Medfast Urgent Care Centers, LLC

  • Urgent Care Clinic/Center
  • Sebastian, FL
  • NPI 1376421479
  NPD
• Orlando Carenow Urgent Care LLC

  • Urgent Care Clinic/Center
  • Winter Springs, FL
  • NPI 1205389905
  NPD (past)
• Paramount Urgent Care Inc

  • Urgent Care Clinic/Center
  • Windermere, FL
  • NPI 1477014744
  NPD (past)
• Sunshine Family Care LLC

  • Urgent Care Clinic/Center
  • Atlamonte Springs, FL
  • NPI 1174306542
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1033412358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 S GOLDENROD RD STE 5C&D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228777",
            "telephone_number": "407-810-8777",
            "fax_number": "407-658-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 S GOLDENROD RD STE 5C&D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228777",
            "telephone_number": "407-810-8777",
            "fax_number": "407-658-0721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1840 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327804716",
            "country_code": "US",
            "telephone_number": "321-360-5577",
            "fax_number": "321-806-2087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "WAYNE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-08",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HP166Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P01590368",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shandria Hall
• Shannon Marie Hall, MD
• Shawntia Nicole Hall, LCSW
• Sheena Hall
• Tom V Hall, LCSW
• Kristin Hallberg
• Beth Halliburton, ARNP
• Barbara A Hallman, PT
• Christopher Alan Hallmark, MD
• Stanley John Hallock, O.D.

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.

Verify at the official NPI Registry.