Individual provider Active NPI

Hallie Caneer Taylor

  • Physician Assistant
  • Huntsville, AL
National Provider Identifier
1114540739
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.1556 Issued in AL
Practice address
2004 Airport Rd SW Ste 212
Huntsville, AL 35801-5848
Phone
(256) 784-7336
Fax
(256) 743-4358
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.1556 AL Primary

Addresses

Primary practice location

2004 Airport Rd SW Ste 212
Huntsville, AL 35801-5848

Mailing address

2004 Airport Rd SW Ste 212
Huntsville, AL 35801-5848
Phone (256) 784-7336

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greenprimarycare@drchono.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200707001536 AL Practitioner - Physician Assistant 9234552449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Asthma, Allergy and Immunology Center, P.C.Group PAC ID 0244123461, 4 clinicians

Practice addresses (Care Compare)

4030 Pepperwood Cir SW
Huntsville, AL 35801-6499
Phone (256) 539-6536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.1556ALMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: hallie.taylor.p1@direct.allervie.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1114540739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 AIRPORT RD SW STE 212",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015848",
            "telephone_number": "256-784-7336",
            "fax_number": "256-743-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 AIRPORT RD SW STE 212",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015848",
            "telephone_number": "256-784-7336",
            "fax_number": "256-743-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "HALLIE",
        "middle_name": "CANEER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greenprimarycare@drchono.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2004 Airport Rd SW Ste 212",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358015848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.