Active NPI
Shannon Joyner Hall
- Family Nurse Practitioner
- Elkin, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5014145
- Practice address
- 500 Chatham Medical Park
Elkin, NC 28621-2481 - Phone
- (336) 835-3136
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | 5014145 | NC | Primary |
Addresses
Primary practice location
500 Chatham Medical Park
Elkin, NC 28621-2481
Mailing address
3651 S Center Church Rd
Thurmond, NC 28683-9773
Phone (336) 468-7367
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shall@hughchatham.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Duke University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
640 Parkwood Medical Park
Elkin, NC 28621-2487
Phone (336) 526-7997
Hospital & facility affiliations
- Hugh Chatham Memorial Hospital
- Northern Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014145 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Cardiology and Internal Medicine PA | Current | Accepting new patients | |
| BRMG-PC | Current | Accepting new patients |
Locations
640 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 526-7997
905 Rockford St
Mount Airy, NC 27030
Phone (336) 719-2440
1909 W Park Dr
North Wilkesboro, NC 28659
Phone (336) 667-1001
Interoperability endpoints
- https://api.platform.athenahealth.com/25603/brand/1/csg/1/fhir/r4
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.
-
- Cardiovascular Disease Physician
- Elkin, NC
- NPI 1851363311
-
- Cardiovascular Disease Physician
- Elkin, NC
- NPI 1477985430
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elkin, NC
- NPI 1942361308
-
- General Acute Care Hospital
- Mount Airy, NC
- NPI 1366449282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1245815752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 S CENTER CHURCH RD",
"city": "THURMOND",
"state": "NC",
"postal_code": "286839773",
"telephone_number": "336-468-7367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CHATHAM MEDICAL PARK",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212481",
"telephone_number": "336-835-3136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SHANNON",
"middle_name": "JOYNER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5014145",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shall@hughchatham.org",
"affiliation": "N",
"address_1": "500 Chatham Medical Park",
"city": "Elkin",
"state": "NC",
"country_code": "US",
"postal_code": "286212481",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elkin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.