Organization Active NPI

Randall L. Hall, M.D., P.C.

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1265614432
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RANDALL L. HALL, M.D., P.C.
Practice address
405 N Section St
Fairhope, AL 36532-2613
Phone
(251) 990-8860
Fax
(251) 990-3401
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Authorized official

Name
Lynn E. Yonge, MDNPI 1235113861
Title
Owner
Phone
(251) 990-8860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

405 N Section St
Fairhope, AL 36532-2613

Mailing address

405 N Section St
Fairhope, AL 36532-2613
Phone (251) 990-8860

Other names 1

  • Bay Medical Family Practice, P.C. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080222000351 AL Part B Supplier - Clinic/Group Practice 7315021862 Receives reassigned benefits from 1 practitioner
Practice locations: Fairhope, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1265614432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322613",
            "telephone_number": "251-990-8860",
            "fax_number": "251-990-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322613",
            "telephone_number": "251-990-8860",
            "fax_number": "251-990-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL L. HALL, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "YONGE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-990-8860",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Medical Family Practice, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.