Individual provider Active NPI

Augusta B Hall, FNP - C

  • Family Nurse Practitioner
  • Liberty, SC
National Provider Identifier
1265864235
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18358 Issued in SC
Practice address
105 Liberty Blvd
Liberty, SC 29657-1641
Phone
(864) 843-9213
Fax
(864) 843-5634
NPI assigned
Aug 1, 2013
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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 18358 SC Primary

Addresses

Primary practice location

105 Liberty Blvd
Liberty, SC 29657-1641

Mailing address

PO Box 919
Pickens, SC 29671-0919

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000931 SC Practitioner - Nurse Practitioner 6204064678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cannon Memorial HospitalGroup PAC ID 8123930666, 30 clinicians

Practice addresses (Care Compare)

105 Liberty Blvd
Liberty, SC 29657-1641
Phone (864) 843-9213

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cannon Memorial Hospital CurrentSince Oct 21, 2013 Accepting new patients
Cannon Memorial Hospital CurrentSince Oct 21, 2013 Accepting new patients
Anmed Health Past Accepting new patients

Locations

105 Liberty Blvd
Liberty, SC 29657
Phone (800) 825-6688

Interoperability endpoints

  • Direct secure messaging: ahall45384@direct.anmedhealth.net

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1265864235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "PICKENS",
            "state": "SC",
            "postal_code": "296710919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LIBERTY BLVD",
            "city": "LIBERTY",
            "state": "SC",
            "postal_code": "296571641",
            "telephone_number": "864-843-9213",
            "fax_number": "864-843-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "AUGUSTA",
        "middle_name": "B",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, SC

Sources for this page

Verify at the official NPI Registry.