Active NPI
Rasheeda Crowell Hall, M.D.
- Family Medicine Physician
- Liberty, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 24033
- Practice address
- 102 W Freedom Dr
Liberty, MS 39645-7295 - Phone
- (601) 657-8091
- Fax
- (833) 314-0337
- NPI assigned
- Jun 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24033 | MS | Primary |
Addresses
Primary practice location
102 W Freedom Dr
Liberty, MS 39645-7295
Mailing address
PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700
Other practice location 1
1014 Rose St Ste A
Prentiss, MS 39474-5271
Phone (601) 792-2200
Other practice location 2
100 Highway 535
Seminary, MS 39479
Phone (601) 722-3208
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 598485YJ69 | Other | MS | MS MEDICARE |
| 00028059 | Medicaid | MS | |
| 14200819 | Other | MS | CAQH - MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171005001983 | MS | Practitioner - Family Practice | 0345483004 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Mississippi School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amite County Medical Services Inc
Practice addresses (Care Compare)
102 W Freedom Dr
Liberty, MS 39645-7295
Phone (601) 657-4326
Hospital & facility affiliations
- Heart of Hospice, LLC - Southern
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24033 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sumrall Family Health Center | Current | Accepting new patients | |
| Amite County Medical Services, Inc. | Current | Accepting new patients | |
| Amite County Medical Services, Inc. | Current | Accepting new patients | |
| Forest General Dba Highland Community Hospital | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| New Augusta Family Health Center | Current | Accepting new patients | |
| Hall Health | Current | Accepting new patients | |
| Hattiesburg Community Dental Center | Current | Accepting new patients | |
| Pioneer Health Care , LLC | Current | Accepting new patients | |
| Forrest County General Hospital | Current | Accepting new patients | |
| Conx Care Corporation | Family Medicine | Past | Accepting new patients |
Locations
44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188
15 Keystone Dr
Ste E
Hattiesburg, MS 39402
Phone (601) 606-6326
300 Cahal St
Hattiesburg, MS 39401
Phone (601) 582-9157
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
1014 Rose St
Ste A
Prentiss, MS 39474
Phone (601) 792-2200
100 Highway 535
Seminary, MS 39479
Phone (601) 722-3208
1016 Highway 42
Sumrall, MS 39482
Phone (601) 758-4214
Interoperability endpoints
- rasheeda.hall.1@22116.direct.athenahealth.com
- https://api.platform.athenahealth.com/8276/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/22116/brand/1/csg/1/fhir/r4
Organizations & group practices 11
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.
-
- Federally Qualified Health Center (FQHC)
- Liberty, MS
- NPI 1073634226
MS
-
- Federally Qualified Health Center (FQHC)
- McComb, MS
- NPI 1609242056
-
- Primary Care Clinic/Center
- Hattiesburg, MS
- NPI 1528929528
-
- Acute Care Nurse Practitioner
- Picayune, MS
- NPI 1124279922
-
- Rural Health Clinic/Center
- Picayune, MS
- NPI 1043820426
-
- Federally Qualified Health Center (FQHC)
- Hattiesburg, MS
- NPI 1366468266
-
- Federally Qualified Health Center (FQHC)
- New Augusta, MS
- NPI 1881661874
Hospital & facility affiliations 1
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": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1114280591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1729",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394031729",
"telephone_number": "601-545-8700",
"fax_number": "601-450-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W FREEDOM DR",
"city": "LIBERTY",
"state": "MS",
"postal_code": "396457295",
"telephone_number": "601-657-8091",
"fax_number": "833-314-0337"
}
],
"practiceLocations": [
{
"address_1": "1014 Rose St Ste A",
"address_purpose": "LOCATION",
"city": "Prentiss",
"state": "MS",
"postal_code": "394745271",
"country_code": "US",
"telephone_number": "601-792-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Highway 535",
"address_purpose": "LOCATION",
"city": "Seminary",
"state": "MS",
"postal_code": "39479",
"country_code": "US",
"telephone_number": "601-722-3208",
"fax_number": "601-722-3304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "RASHEEDA",
"middle_name": "CROWELL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "24033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS MEDICARE",
"identifier": "598485YJ69",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00028059",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH - MS",
"identifier": "14200819",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.