Individual provider Active NPI

Gina Marie Hall, APRN

  • Family Nurse Practitioner
  • Panama City Beach, FL
National Provider Identifier
1124681622
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11002183 Issued in FL
Practice address
120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2522
Phone
(850) 532-6168
Fax
(850) 249-5107
NPI assigned
Apr 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11002183 FL Primary

Addresses

Primary practice location

120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2522

Mailing address

120 N Richard Jackson Blvd Ste 140
Panama City Beach, FL 32407-2522
Phone (850) 532-6168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 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
I20191008000885 AL Practitioner - Nurse Practitioner 7012248933 Reassigns benefits to 1 organization
I20200709001765 FL Practitioner - Nurse Practitioner 7012248933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Multispeciality Services, LLCGroup PAC ID 2466555339, 19 clinicians

Practice addresses (Care Compare)

120 N Richard Jackson Blvd
Suite 140
Panama City Beach, FL 32407-2522
Phone (850) 532-6168

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Panama City, FL, CCN 108380
  • Tender Touch Health Care Services Home health agency, Panama City, FL, CCN 107791
  • NHC Homecare Home health agency, Panama City Beach, FL, CCN 107099
  • Concierge Home Care Home health agency, Panama City, FL, CCN 107635
  • Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
  • Ascension Sacred Heart Gulf Hospital, Port Saint Joe, FL, CCN 100313

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11002183FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Orthopedics PLLC CurrentSince Jul 7, 2020 Accepting new patients
Gulf Coast Multispeciality Services, LLC CurrentSince Jan 2, 2024 Accepting new patients
App of Alabama Ed PLLC CurrentSince Sep 1, 2019 Accepting new patients
Sacred Heart Health System Inc PastSince Nov 1, 2023 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

2202 State Ave
Ste 303
Panama City, FL 32405
Phone (850) 784-1856

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

120 N Richard Jackson Blvd
Ste 140
Panama City Beach, FL 32407
Phone (850) 532-6168

120 N Richard Jackson Blvd
Ste 120
Panama City Beach, FL 32407
Phone (850) 233-6922

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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 8

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1124681622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-532-6168",
            "fax_number": "850-249-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N RICHARD JACKSON BLVD STE 140",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072522",
            "telephone_number": "850-532-6168",
            "fax_number": "850-249-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-19",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City Beach, FL

Sources for this page

Verify at the official NPI Registry.