Glenn M Hall Jr., MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

98864 Issued in GA

Practice address

3855 Pleasant Hill Rd Ste 470
Duluth, GA 30096-1417

Phone

(678) 312-7280

NPI assigned

Aug 8, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH, MI, NH, GA4 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 4

Specialty

General Surgery

Education

Meharry Medical College School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Promedica Central Corporation of MichiganGroup PAC ID 7012902265, 112 clinicians

Memorial HospitalGroup PAC ID 2365418993, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital, the Hospital, North Conway, NH, CCN 301307
• Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glhall@yourcarecommunity.org
• Direct secure messaging: ghall49877@direct.metrohealth.org

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.

• Memorial Hospital

  • Critical Access Hospital
  • North Conway, NH
  • NPI 1700864709
  Medicare reassignment Care Compare group NPD
• Promedica Central Corporation of Michigan

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1588624696

  MI, Surgery

  Medicare reassignment Care Compare group NPD
• Meadows Multispecialty Associates, LLC

  • Internal Medicine Physician
  • Lyons, GA
  • NPI 1952990533
  Medicare reassignment Care Compare group
• Kettering Independent Medical Group Inc

  • Orthopaedic Surgery Physician
  • Miamisburg, OH
  • NPI 1629387865
  Medicare reassignment NPD
• Promedica Central Physicians

  • Family Medicine Physician
  • Toledo, OH
  • NPI 1043270150

  MI, Surgery

  Medicare reassignment NPD
• Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • North Conway, NH
  • NPI 1942361985
  NPD
• Promedica Central Physicians

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
  • NPI 1669068482
  NPD
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vidalia Health Services, LLC

  • General Acute Care Hospital
  • Vidalia, GA
  • NPI 1790376564
  Care Compare affiliation
• Memorial Hospital

  • Critical Access Hospital
  • North Conway, NH
  • NPI 1700864709
  Care Compare affiliation
• Memorial Hospital

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1992000103

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Obstetrics & Gynecology Physician
  • North Conway, NH
  • NPI 1366421141

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Orthopaedic Surgery Physician
  • North Conway, NH
  • NPI 1619968849

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • North Conway, NH
  • NPI 1629060926

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1104072230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD STE 470",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961417",
            "telephone_number": "678-312-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PLEASANT HILL RD STE 470",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961417",
            "telephone_number": "678-312-7280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 NW Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450131208",
            "country_code": "US",
            "telephone_number": "513-737-3690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3073 White Mountain Hwy",
            "address_purpose": "LOCATION",
            "city": "North Conway",
            "state": "NH",
            "postal_code": "038607101",
            "country_code": "US",
            "telephone_number": "603-356-4835",
            "fax_number": "603-356-2604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "GLENN",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "98864",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NH",
            "license": "20807",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "20807",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.127088",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3124445",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "1380 NW Washington Blvd",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131208",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghall909097@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "1380 NW Washington Blvd",
            "city": "Hamilton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450131208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hair Clinique Salon
• Shideh Haji Seyed Javadi
• Amynah Haji
• Travonta Hale
• Mary G Hales, M.A.,L.C.A.S,. L.P.C
• Maria Mercedes Hall, FNP-C
• Micheal A Hall, M.D.
• John Dakota Hallum
• Jae Hyon Ham, DDS
• Jennifer Dreibelbis Hama, LPC, CPCS

• Surgery Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.
• 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.