NPIMap

Individual provider Active NPI

Patrick A Hall, MD

  • Interventional Cardiology Physician
  • Columbia, SC
National Provider Identifier
1205872850
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
22217 Issued in SC
Practice address
8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006
Phone
(803) 434-3800
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 073434 GA
Interventional Cardiology Physician 207RI0011X 22217 SC Primary

Addresses

Primary practice location

8 Richland Medical Park Dr Ste 100
Columbia, SC 29203-8006

Mailing address

PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7033

Other practice location 1

1348 Walton Way Ste 5100
Augusta, GA 30901-5108
Phone (706) 724-8611

Other practice location 2

4350 Towne Centre Dr Ste 1100
Evans, GA 30809-3329
Phone (706) 863-3790

Other practice location 3

818 Saint Sebastian Way
Ste 311
Augusta, GA 30901
Phone (706) 774-7263

Other identifiers 1

IdentifierTypeStateIssuer
222173MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phall67629@direct.ghs.myhfn.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000603 SC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 7315859659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
University of Virginia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

8 Richland Medical Park Dr
Suite 100
Columbia, SC 29203-8006
Phone (803) 434-3800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting66
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22217SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health Medical Group-Midlands Current Accepting new patients
University Cardiology Associates LLC Cardiovascular Disease Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Mar 22, 2021 Accepting new patients
Prisma Health Medical Group-Midlands Cardiovascular Disease CurrentSince Mar 22, 2021 Accepting new patients

Locations

1348 Walton Way
Ste 5100
Augusta, GA 30901
Phone (706) 724-8611

818 Saint Sebastian Way
Ste 311
Augusta, GA 30901
Phone (706) 724-3473

4350 Towne Centre Dr
Ste 1100
Evans, GA 30809
Phone (706) 863-3790

2500 University Dr
Thomson, GA 30824
Phone (706) 595-1186

8 Richland Medical Park Dr
Ste 100
Columbia, SC 29203

8 Richland Medical Park Dr
Ste 200
Columbia, SC 29203

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

Interoperability endpoints

  • Direct secure messaging: phall67629@direct.ghs.myhfn.org

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 12

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1205872850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7033",
            "fax_number": "803-296-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 RICHLAND MEDICAL PARK DR STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038006",
            "telephone_number": "803-434-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1348 Walton Way Ste 5100",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309015108",
            "country_code": "US",
            "telephone_number": "706-724-8611",
            "fax_number": "706-724-6202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4350 Towne Centre Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093329",
            "country_code": "US",
            "telephone_number": "706-863-3790",
            "fax_number": "706-863-3794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 SAINT SEBASTIAN WAY",
            "address_2": "STE 311",
            "address_purpose": "LOCATION",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30901",
            "country_code": "US",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "073434",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "SC",
            "license": "22217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222173",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phall67629@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "provider",
            "address_1": "8 Richland Medical Park Dr Ste 100",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292038006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.