Individual provider Active NPI

William C Hall, M.D.

  • Vascular Surgery Physician
  • Knoxville, TN
National Provider Identifier
1073597423
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD19686 Issued in TN
Practice address
101 Blount Ave
Suite 800
Knoxville, TN 37920
Phone
(865) 632-5900
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD19686 TN Primary

Addresses

Primary practice location

101 Blount Ave
Suite 800
Knoxville, TN 37920

Mailing address

9125 Cross Park Dr Ste 200
Knoxville, TN 37923-4563
Phone (865) 632-5900

Other identifiers 2

IdentifierTypeStateIssuer
91928OtherTNBCBS OF TN
3044444MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hall.william@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IA2 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
I20111221000473 TN Practitioner - Cardiac Surgery 6305759309 Reassigns benefits to 2 organizations
I20230621000648 IA Practitioner - Thoracic Surgery 6305759309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Medical College of Georgia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians
Hyperbaric Wound Specialists, PLLCGroup PAC ID 0547273070, 6 clinicians

Practice addresses (Care Compare)

1000 4TH St SW
Mason City, IA 50401-2800

160 A W Tennessee Ave
Oak Ridge, TN 37830-6940
Phone (865) 835-3740

635 E US Hwy 9
Mercyone Forest City Family Medicine
Forest City, IA 50436-1028
Phone (641) 585-2904

Hospital & facility affiliations

  • Methodist Medical Center of Oak Ridge Hospital, Oak Ridge, TN, CCN 440034
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064
  • Fort Sanders Regional Medical Center Hospital, Knoxville, TN, CCN 440125

Merit-based Incentive Payment System (MIPS)

Final score
81.55 of 100Reported as group
Quality
73.89
Promoting interoperability
93
Improvement activities
40
Cost
70.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Removal of tissue302
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19686TNMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hyperbaric Wound Specialists, PLLC CurrentSince May 1, 2022 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
East Tennessee Cardiovascular Surgery Group, P.C CurrentSince Jul 1, 1989 Accepting new patients
North Iowa Mercy Clinics CurrentSince May 15, 2023 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Vascular Surgery CurrentSince May 15, 2023 Accepting new patients

Locations

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

9330 Park West Blvd
Ste 100
Knoxville, TN 37923
Phone (865) 373-7942

Dept 888101
Knoxville, TN 37995

101 E Blount Ave
Ste 800
Knoxville, TN 37920
Phone (865) 632-5900

501 19th St
Ste 309
Knoxville, TN 37916
Phone (865) 541-1810

9125 Cross Park Dr
Ste 200
Knoxville, TN 37923
Phone (865) 632-5900

160A W Tennessee Ave
Oak Ridge, TN 37830
Phone (865) 835-3740

969 Oak Ridge Tpke
Oak Ridge, TN 37830

988 Oak Ridge Tpke
Ste 380
Oak Ridge, TN 37830
Phone (865) 481-0183

Interoperability endpoints

  • Direct secure messaging: whall3946156@direct.trinity-health.org
  • Direct secure messaging: hall.william@covenanthealth.cernerdirect.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 3

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1073597423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 CROSS PARK DR STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234563",
            "telephone_number": "865-632-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BLOUNT AVE",
            "address_2": "SUITE 800",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37920",
            "telephone_number": "865-632-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "MD19686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "91928",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044444",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hall.william@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "101 Blount Ave",
            "address_2": "Suite 800",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.