Jonathan Ray Hall, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

296959 Issued in NC

Practice address

2053 Valleygate Dr Ste 102
Fayetteville, NC 28304-3983

Phone

(910) 323-3757

NPI assigned

Mar 13, 2019

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Raleigh Medical Group, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1104962315

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Wayne Memorial Hospital Inc

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462

  Single Specialty

  Medicare reassignment NPD
• Cape Fear Aesthetics PLLC

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Fayetteville, NC
  • NPI 1811192552

  Single Specialty

  NPD
• Wayne Health Physicians

  • Clinic/Center
  • Goldsboro, NC
  • NPI 1396978169

  Single Specialty

  NPD
• Wayne Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Goldsboro, NC
  • NPI 1215105713
  NPD

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1083173769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 349",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "509-768-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 VALLEYGATE DR STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043983",
            "telephone_number": "910-323-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JONATHAN",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-13",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "296959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dionne Hall, M.A., LPC
• Eric Hall
• Gary Lee Hall, DMD
• Jennifer Overby Hall, PA-C
• Jonathan Hall, PA-C
• Jordan Hall
• Monica Hall
• Quanisha Hall
• Rebecca Hall
• Samantha Marie Hall

• Certified Registered Nurse Anesthetist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.