Individual provider Active NPI

Lisa McCaskill Hall, PA-C

  • Physician Assistant
  • Sanford, NC
National Provider Identifier
1114945953
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00227 Issued in NC
Practice address
2412 Wilkins Dr
Sanford, NC 27330-7268
Phone
(919) 776-6000
Fax
(919) 580-0148
NPI assigned
Jul 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 0010-00227 NC Primary

Addresses

Primary practice location

2412 Wilkins Dr
Sanford, NC 27330-7268

Mailing address

2412 Wilkins Dr
Sanford, NC 27330-7268
Phone (919) 776-6000

Other identifiers 1

IdentifierTypeStateIssuer
P01339966OtherNCRAILROAD MEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060214000238 NC Practitioner - Physician Assistant 4284649153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

110 Dennis Dr
Sanford, NC 27330-6343
Phone (919) 774-4511

110 Fields Dr
Suite a
Sanford, NC 27330-5068
Phone (919) 777-9005

1409 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1201

1411 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1878

1413 Greenway CT
Sanford, NC 27330-6954
Phone (919) 292-1201

1816 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 708-1555

1818 Doctors Dr
Sanford, NC 27330-5057
Phone (919) 708-1555

200 Pavilion Way
Southern Pines, NC 28387-4561
Phone (910) 295-5511

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511

555 Carthage St
Sanford, NC 27330-4104
Phone (919) 774-6518

Hospital & facility affiliations

  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115
  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-00227NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince May 1, 2019 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince May 8, 2023 Accepting new patients
Little River Med 1 PA Past Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

15 Regional Dr
Pinehurst, NC 28374
Phone (910) 255-4400

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

2412 Wilkins Dr
Sanford, NC 27330
Phone (919) 776-6000

4546 NC 87 S
Sanford, NC 27332
Phone (919) 499-5151

1139 Carthage St
Ste 110A
Sanford, NC 27330
Phone (919) 774-2195

110 Dennis Dr
Sanford, NC 27330
Phone (919) 774-4511

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: lisahall@phmc.allscriptsdirect.net

Organizations & group practices 6

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1114945953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 WILKINS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307268",
            "telephone_number": "919-776-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 WILKINS DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307268",
            "telephone_number": "919-776-6000",
            "fax_number": "919-580-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LISA",
        "middle_name": "MCCASKILL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01339966",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.