Individual provider Active NPI

Channing Hall, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Conway, AR
National Provider Identifier
1104464445
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
122833 Issued in AR
Practice address
2255 Sturgis Rd
Conway, AR 72034-8029
Phone
(501) 858-3048
NPI assigned
Dec 17, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 122833 AR Primary

Addresses

Primary practice location

2255 Sturgis Rd
Conway, AR 72034-8029

Mailing address

3855 Lazy Creek TRL
Conway, AR 72032-9180
Phone (870) 814-2689

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Smartphone

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200928000275 AR Practitioner - Nurse Practitioner 4880013713 Reassigns benefits to 5 organizations
I20250812004185 NC Practitioner - Nurse Practitioner 4880013713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reding and Leach MD PLLCGroup PAC ID 7012258627, 62 clinicians

Practice addresses (Care Compare)

3395 Hwy 5 N
Suite 300
Bryant, AR 72019-9031
Phone (501) 508-2600

4810 W Commercial Dr
North Little Rock, AR 72116-7083
Phone (501) 255-9147

5 Medical Lane
Suite 5D
Conway, AR 72034-4912

5 Medical LN
Suite 5D
Conway, AR 72034-4912
Phone (501) 499-9822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Single Specialty CurrentSince Jul 23, 2025 Accepting new patients
Reding & Leach MD PLLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Conway Behavioral Health, LLC Single Specialty CurrentSince Jun 23, 2020 Accepting new patients
Conway Counseling & Psychological Services, PLLC Single Specialty CurrentSince Nov 1, 2020 Accepting new patients
Forefront-Rush Medical Services PC Single Specialty CurrentSince May 5, 2025 Accepting new patients
Forefront-Matteson Medical Services PC Single Specialty CurrentSince Jul 23, 2025 Accepting new patients
Grace Therapeutics of Arkansas Single Specialty CurrentSince Aug 7, 2023 Accepting new patients

Locations

3395 Highway 5 N
Ste 300
Bryant, AR 72019
Phone (501) 508-2600

2255 Sturgis Rd
Conway, AR 72034
Phone (501) 205-0011

5 Medical Ln
Ste 5D
Conway, AR 72034
Phone (501) 499-9822

855 S German Ln
Ste 1
Conway, AR 72034
Phone (501) 358-6606

11501 Huron Ln
Ste 5
Little Rock, AR 72211
Phone (501) 904-4762

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

4810 W Commercial Dr
North Little Rock, AR 72116
Phone (501) 255-9147

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

Interoperability endpoints

  • Direct secure messaging: channing.hall.1@21565.direct.athenahealth.com

Organizations & group practices 7

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": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1104464445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 LAZY CREEK TRL",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720329180",
            "telephone_number": "870-814-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 STURGIS RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348029",
            "telephone_number": "501-858-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHANNING",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "122833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Smartphone",
            "affiliation": "N",
            "address_1": "2255 Sturgis Rd",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720348029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.