Tyechia Lewis Hall, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN206917 Issued in GA

Practice address

1114 Ga Highway 96 Ste D3-D5
Kathleen, GA 31047-2111

Phone

(478) 910-1090

Fax

(478) 910-1091

NPI assigned

Nov 15, 2018

Sex

Female

Sole proprietor

No

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 GA

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BIDGAD

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.

• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063436624
  Medicare reassignment NPD
• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Sylvester, GA
  • NPI 1811874696
  NPD
• Dr F M Himada and Pediatric Associates LLC

  • Pediatrics Physician
  • Cordele, GA
  • NPI 1447020680
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1093284440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 WATSON BLVD STE 100",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310086749",
            "telephone_number": "478-699-1028",
            "fax_number": "478-699-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 GA HIGHWAY 96 STE D3-D5",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472111",
            "telephone_number": "478-910-1090",
            "fax_number": "478-910-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6005 Watson Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Byron",
            "state": "GA",
            "postal_code": "310086749",
            "country_code": "US",
            "telephone_number": "478-699-1028",
            "fax_number": "478-699-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TYECHIA",
        "middle_name": "LEWIS",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Family Eyecare LLC
• Taylor Glaze, PNP
• Goldenoak Living, LLC
• Latisha Gotel
• Greatworks Counseling, LLC
• Kimberley Rhodes Ham, M.D.
• Abby Hammonds
• Shauna Hardy
• Cynthia Harrison
• Heavenly Transit LLC

• Family Nurse Practitioner in Kathleen, GA
• Providers in Kathleen, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.