NPIMap

Individual provider Active NPI

Austin Todey Hall, PAC

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1245894427
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
00000 Issued in GA
Practice address
3400 Old Milton Pkwy Ste C290
Alpharetta, GA 30005-6491
Phone
(770) 667-4343
Fax
(770) 772-0937
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 00000 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy Ste C290
Alpharetta, GA 30005-6491

Mailing address

1439 Cheshire Way NE
Brookhaven, GA 30319-3159
Phone (770) 289-2320

Other names 1

  • Austin Brooke Todey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20200106000916 GA Practitioner - Physician Assistant 7618301367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Woundcare MD LLCGroup PAC ID 7214432475, 3 clinicians
Advanced Joint Surgery Specialists, LLCGroup PAC ID 2961795190, 46 clinicians
Omni Virtual Health Care IncGroup PAC ID 2769883842, 11 clinicians

Practice addresses (Care Compare)

1165 Sanders Rd
Cumming, GA 30041-5965
Phone (210) 379-8553

1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Phone (770) 844-3200

12895 Keystone CT
Alpharetta, GA 30009-1526
Phone (210) 379-8553

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (770) 667-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.29 of 100Reported as group
Quality
67.84
Promoting interoperability
73
Improvement activities
40
Cost
85.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
00000GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Woundcare MD LLC CurrentSince Aug 1, 2025 Accepting new patients
Vertex Cardio Solutions LLC Past Accepting new patients
Ved Rehab LLC Past Accepting new patients
Psych Care Atl Past Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients

Locations

8000 Avalon Blvd
Ste 100
Alpharetta, GA 30009
Phone (210) 379-8553

1968 Peachtree Rd NW
#6
Atlanta, GA 30309

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1968 Peachtree Rd NW
Fl 6
Atlanta, GA 30309
Phone (210) 379-8553

1165 Sanders Rd
Cumming, GA 30041
Phone (210) 379-8553

Organizations & group practices 7

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 4

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1245894427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 CHESHIRE WAY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193159",
            "telephone_number": "770-289-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C290",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300056491",
            "telephone_number": "770-667-4343",
            "fax_number": "770-772-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AUSTIN",
        "middle_name": "TODEY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTIN",
            "last_name": "TODEY",
            "middle_name": "BROOKE",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.