Individual provider Active NPI

Andrea Lynn Hall, M.D.

  • Family Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1144437492
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0116018160 Issued in VA
Practice address
1645 North Main Street
Blacksburg, VA 24060
Phone
(540) 552-1246
Fax
(540) 552-1247
NPI assigned
May 17, 2007
Last updated
Aug 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0116018160 VA Primary

Addresses

Primary practice location

1645 North Main Street
Blacksburg, VA 24060

Mailing address

1645 North Main Street
Blacksburg, VA 24060
Phone (540) 552-1246

Other identifiers 1

IdentifierTypeStateIssuer
1144437492MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000310 AL Practitioner - Family Practice 4880758903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
70.43 of 100Reported as group
Quality
65.59
Improvement activities
40
Cost
64.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116018160VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Dec 11, 2023 Accepting new patients
BHG Lxxiii, LLC CurrentSince Jul 17, 2023 Accepting new patients
American Family Care, LLC Current Accepting new patients
Blue Ridge Healthcare Partners, LLC PastSince Apr 1, 2017 Accepting new patients
Family Medicine of Blacksburg, LLC Family Medicine Past Accepting new patients

Locations

2147 Riverchase Office Rd
Hoover, AL 35244
Phone (205) 403-8902

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

7559 Highway 72 W
Madison, AL 35758
Phone (256) 414-0488

1714 Platt Pl
Montgomery, AL 36117
Phone (334) 245-7680

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1144437492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 NORTH MAIN STREET",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-552-1246",
            "fax_number": "540-552-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 NORTH MAIN STREET",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "24060",
            "telephone_number": "540-552-1246",
            "fax_number": "540-552-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0116018160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144437492",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.