Active NPI
Andrea Lynn Hall, M.D.
- Family Medicine Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0116018160
- 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, 2011
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144437492 | Medicaid | VA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 70.43 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0116018160 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Family Care, LLC | Current | Accepting new patients | |
| BHG Lxxiii, LLC | Current | Accepting new patients | |
| American Family Care, LLC | Current | Accepting new patients | |
| Blue Ridge Healthcare Partners, LLC | Past | 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.
-
- Primary Care Clinic/Center
- Birmingham, AL
- NPI 1669429080
-
dba BHG Medical Services-Montgomery
- Substance Use Disorder Rehabilitation Clinic/Center
- Montgomery, AL
- NPI 1568061307
-
- Primary Care Clinic/Center
- Gardendale, AL
- NPI 1497858948
-
- Primary Care Clinic/Center
- Roanoke, VA
- NPI 1518304955
-
- Family Medicine Physician
- Blacksburg, VA
- NPI 1558550301
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.