Individual provider Active NPI

Nora Marie Hall, NP

  • Nurse Practitioner
  • Sandersville, GA
National Provider Identifier
1174728349
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN086005 Issued in GA
Practice address
616 Ferncrest Dr
Sandersville, GA 31082-1863
Phone
(478) 864-3448
Fax
(478) 864-1288
NPI assigned
Jun 18, 2007
Last updated
Nov 30, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN086005 GA Primary

Addresses

Primary practice location

616 Ferncrest Dr
Sandersville, GA 31082-1863

Mailing address

2251 W Elm St
Wrightsville, GA 31096-2017
Phone (478) 864-3448

Other identifiers 1

IdentifierTypeStateIssuer
RN086005OtherGANURSE PRACTITIONERS LICEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110211000249 GA Practitioner - Nurse Practitioner 4082894894 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN086005GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Systems, Inc CurrentSince Nov 30, 2010 Accepting new patients
Community Health Care Systems, Inc CurrentSince Nov 30, 2010 Accepting new patients
Community Health Care Systems, Inc. Current Accepting new patients

Locations

616 Ferncrest Dr
Sandersville, GA 31082
Phone (478) 552-1620

2251 W Elm St
Wrightsville, GA 31096
Phone (478) 864-2600

Organizations & group practices 3

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1174728349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 W ELM ST",
            "city": "WRIGHTSVILLE",
            "state": "GA",
            "postal_code": "310962017",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 FERNCREST DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310821863",
            "telephone_number": "478-864-3448",
            "fax_number": "478-864-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "NORA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN086005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONERS LICEN",
            "identifier": "RN086005",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandersville, GA

Sources for this page

Verify at the official NPI Registry.