Sydney Jewel Hall, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP011500 Issued in GA

Practice address

2808 Rusty Rd
Statesboro, GA 30461-6750

Phone

(478) 410-1694

NPI assigned

May 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1043884513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 RUSTY RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616750",
            "telephone_number": "478-410-1694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 RUSTY RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616750",
            "telephone_number": "478-410-1694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7130 Hodgson Memorial Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314061527",
            "country_code": "US",
            "telephone_number": "912-355-3392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SYDNEY",
        "middle_name": "JEWEL",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP011500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niana Haddock
• Dianne B Hagan
• Emma Dasher Hagan, M.ED., APC
• Jack Reynolds Hall III
• Shannon Hall, P.A.
• William Hallmon, MD
• Quin'de'Ja Hamilton, BS
• Ashley Kathryn Hand, LCSW
• Hanger Prosthetics & Orthotics Inc
• Julie Laing Haray, DNP, FNP-BC

• Speech-Language Pathologist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.