Individual provider Active NPI

Ronald Daker Hall III, MD

  • Family Medicine Physician
  • La Follette, TN
National Provider Identifier
1093785578
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7132 Issued in TN
Practice address
919 East Central Avenue
Suite 101B
Lafollette, TN 37766-2778
Phone
(423) 562-6586
Fax
(423) 566-4559
NPI assigned
Jan 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7132 TN Primary

Addresses

Primary practice location

919 East Central Avenue
Suite 101B
Lafollette, TN 37766-2778

Mailing address

919 East Central Avenue
Suite 101B
Lafollette, TN 37766-2778
Phone (423) 562-6586

Other identifiers 1

IdentifierTypeStateIssuer
3165571MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7132TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrogate Family Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093785578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 EAST CENTRAL AVENUE",
            "address_2": "SUITE 101B",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "377662778",
            "telephone_number": "423-562-6586",
            "fax_number": "423-566-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 EAST CENTRAL AVENUE",
            "address_2": "SUITE 101B",
            "city": "LAFOLLETTE",
            "state": "TN",
            "postal_code": "377662778",
            "telephone_number": "423-562-6586",
            "fax_number": "423-566-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RONALD",
        "middle_name": "DAKER",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "7132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3165571",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.