Active NPI
Russell D Hall, M.D.
- Internal Medicine Physician
- Greenwood, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- SC16514
- Practice address
- 104 Liner Dr
Greenwood, SC 29646-2310 - Phone
- (864) 227-1115
- Fax
- (864) 227-2046
- NPI assigned
- Oct 3, 2005
- Last updated
- Feb 4, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | SC16514 | SC | Primary |
Addresses
Primary practice location
104 Liner Dr
Greenwood, SC 29646-2310
Mailing address
104 Liner Dr
Greenwood, SC 29646-2310
Phone (864) 227-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL6268 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone (864) 229-2663
102 Katie CT
Greenwood, SC 29646-4068
Phone (864) 725-7770
1033 Edgefield St
Greenwood, SC 29646-3205
Phone (864) 227-3908
104 Liner Dr
Greenwood, SC 29646-2310
Phone (864) 227-1115
104 Wells Ave
Greenwood, SC 29646-3837
105 Vinecrest CT
Greenwood, SC 29646-8031
109 Liner Dr
Greenwood, SC 29646-2311
Phone (864) 227-6401
1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036
1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111
1325 Spring St
Greenwood, SC 29646-3875
138 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4138
1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900
160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090
298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232
305 W Alexander Ave
A
Greenwood, SC 29646-4009
Phone (864) 725-4111
410 Epting Ave
Greenwood, SC 29646-4040
Phone (864) 725-6042
Hospital & facility affiliations
- Home Health Services of Self Regional Healthcare
- Amedisys Home Health of Clinton
- Self Regional Healthcare
- Abbeville Area Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16514 | SC | MD | Clinical Social Worker |
| SC16514 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Regional Healthcare | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Piedmont Internal Med PA | Internal Medicine | Current | Accepting new patients |
| Self Regional Healthcare | Internal Medicine | Current | Accepting new patients |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients | |
| Self Regional Healthcare | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
75 Remittance Dr
Dept 6793
Chicago, IL 60675
75 Remittance Dr
Dept 6875
Chicago, IL 60675
104 Liner Dr
Greenwood, SC 29646
Phone (864) 227-1115
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- rhall127289@selfregional.direct-ci.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
dba Montgomery Center for Family Medicine of SRH
- Family Medicine Physician
- Greenwood, SC
- NPI 1326067703
-
- Internal Medicine Physician
- Greenwood, SC
- NPI 1528055084
-
- Rural Health Clinic/Center
- Newberry, SC
- NPI 1477880003
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
dba Internal Medicine of the Piedmont
- Internal Medicine Physician
- Greenwood, SC
- NPI 1558160804
-
dba SRH Diabetes Education
- Diabetes Educator Registered Nurse
- Greenwood, SC
- NPI 1417582503
-
dba Self Medical Center Newberry
- Family Medicine Physician
- Newberry, SC
- NPI 1548068398
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Abbeville Area Medical Center
- Critical Access Hospital
- Abbeville, SC
- NPI 1063449361
-
dba Abbeville Hospital Swingbed Unit
- Medicare Defined Swing Bed Hospital Unit
- Abbeville, SC
- NPI 1811096423
-
dba Amedisys Home Health of Clinton
- Home Health Agency
- Clinton, SC
- NPI 1679531156
-
dba Pain Management Greenwood
- Pain Medicine (Anesthesiology) Physician
- Greenwood, SC
- NPI 1013867498
Hospital
-
dba SRH - Inpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1023046612
-
dba Home Health Services of SRH
- Home Health Agency
- Greenwood, SC
- NPI 1407860778
-
dba SRH - Outpatient Services
- General Acute Care Hospital
- Greenwood, SC
- NPI 1407887003
-
dba Pain Management Laurens
- Pain Medicine (Anesthesiology) Physician
- Clinton, SC
- NPI 1720938103
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296777600000",
"number": "1265429492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 LINER DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462310",
"telephone_number": "864-227-1115",
"fax_number": "864-227-2046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 LINER DR",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296462310",
"telephone_number": "864-227-1115",
"fax_number": "864-227-2046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "RUSSELL",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2011-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "SC16514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TL6268",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.