NPIMap

Individual provider Active NPI

Hal B Woodall, MD

  • Internal Medicine Physician
  • Kenly, NC
National Provider Identifier
1235179128
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20222 Issued in NC
Practice address
101 E 2ND St
Kenly, NC 27542-7794
Phone
(919) 284-4025
Fax
(919) 284-5965
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20222 NC Primary

Addresses

Primary practice location

101 E 2ND St
Kenly, NC 27542-7794

Mailing address

PO Box 275
Kenly, NC 27542-0275
Phone (919) 284-4025

Other identifiers 3

IdentifierTypeStateIssuer
8989096MedicaidNC
110034167OtherNCRAILROAD MEDICARE
89096OtherNCBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071224000000 NC Practitioner - Internal Medicine 1052401452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kenly Medical Associates PAGroup PAC ID 2567657448, 2 clinicians
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians

Practice addresses (Care Compare)

101 E 2ND St
Kenly, NC 27542-7794
Phone (919) 284-4025

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20222NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kenly Medical Associates, PA Internal Medicine CurrentSince Aug 1, 1990 Accepting new patients

Locations

101 E 2nd St
Kenly, NC 27542
Phone (919) 249-5652

Interoperability endpoints

  • Direct secure messaging: halwoodall@kmac.allscriptsdirect.net

Organizations & group practices 2

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 11

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1235179128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 275",
            "city": "KENLY",
            "state": "NC",
            "postal_code": "275420275",
            "telephone_number": "919-284-4025",
            "fax_number": "919-284-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E 2ND ST",
            "city": "KENLY",
            "state": "NC",
            "postal_code": "275427794",
            "telephone_number": "919-284-4025",
            "fax_number": "919-284-5965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODALL",
        "first_name": "HAL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "20222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8989096",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110034167",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "89096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenly, NC

Sources for this page

Verify at the official NPI Registry.