Individual provider Active NPI

Jordan Manuel Hall, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
National Provider Identifier
1114000684
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
61854 Issued in TN
Practice address
391 Wallace Rd
Nashville, TN 37211-4851
Phone
(615) 718-4177
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2006-01960 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 61854 TN Primary

Addresses

Primary practice location

391 Wallace Rd
Nashville, TN 37211-4851

Mailing address

1010 Airpark Center Dr
Nashville, TN 37217-5200
Phone (615) 221-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241030004029 NC Practitioner - Pathology 0042621484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Pathology Associates PAGroup PAC ID 2668369075, 9 clinicians

Practice addresses (Care Compare)

151 Scotts Hill Medical Dr
Wilmington, NC 28411-7983
Phone (910) 662-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.55 of 100Reported as group
Quality
72.42
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
89.3
Improvement activities
40
Cost
78.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006-01960NCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Pathology Associates PA Anatomic Pathology & Clinical Pathology CurrentSince Dec 1, 2024 Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients
Associated Pathologists LLC Past Accepting new patients

Locations

6100 Waterford District Dr
Ste 450
Miami, FL 33126

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

151 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 662-8440

1915 S 17th St
Ste 100
Wilmington, NC 28401
Phone (910) 202-2400

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1114000684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 AIRPARK CENTER DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372175200",
            "telephone_number": "615-221-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 WALLACE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114851",
            "telephone_number": "615-718-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JORDAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2006-01960",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "61854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.