George Jeffrey Hall, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09654 Issued in NC

Practice address

Physicians Eldercare
4692 Brownsboro Rd
Winston-Salem, NC 27106-2710

Phone

(336) 251-1114

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• G Jeffrey Hall Other name

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  Medicare reassignment
• Yadkin Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Elkin, NC
  • NPI 1417443771
  Medicare reassignment
• Island Medical Empire State, PLLC

  • Emergency Medicine Physician
  • Oneonta, NY
  • NPI 1053623041

  Physician Assistant

  NPD (past)
• Strong Medical Group

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1184664948
  NPD (past)
• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1063522555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 CHICKASHA DR",
            "city": "PFAFFTOWN",
            "state": "NC",
            "postal_code": "270408203",
            "telephone_number": "585-766-1135",
            "fax_number": "585-223-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSICIANS ELDERCARE",
            "address_2": "4692 BROWNSBORO RD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271062710",
            "telephone_number": "336-251-1114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Cross Keys Office Park",
            "address_purpose": "LOCATION",
            "city": "Fairport",
            "state": "NY",
            "postal_code": "144503509",
            "country_code": "US",
            "telephone_number": "585-223-9660",
            "fax_number": "585-223-4984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Lansing St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211983",
            "country_code": "US",
            "telephone_number": "315-567-0437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "GEORGE",
        "middle_name": "JEFFREY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-03-11",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09654",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G",
            "last_name": "HALL",
            "middle_name": "JEFFREY",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Barbara Evette Hall
• Brittany Nicole Hall, BCBA
• Brittany T Hall, L.P.C.
• Cary Hall
• Daniel Patrick Hall, M.A.
• Hannah Austin Hall, CCC-SLP
• Juawana Coleman Hall, O.D.
• Matthew Steven Hall
• Riley Hall
• Samuel E. Hall, MD

• Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.