Individual provider Active NPI

Shannon Joyner Hall

  • Family Nurse Practitioner
  • Elkin, NC
National Provider Identifier
1245815752
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014145 Issued in NC
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

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210524000318 NC Practitioner - Nurse Practitioner 8022417161 Reassigns benefits to 1 organization

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
Blue Ridge Cardiology and Internal Medicine PAGroup PAC ID 7719875707, 7 clinicians

Practice addresses (Care Compare)

640 Parkwood Medical Park
Elkin, NC 28621-2487
Phone (336) 526-7997

Hospital & facility affiliations

  • Hugh Chatham Memorial Hospital Hospital, Elkin, NC, CCN 340097
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5014145NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Cardiology and Internal Medicine PA CurrentSince May 5, 2025 Accepting new patients
BRMG-PC CurrentSince May 5, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.