Tanya Renee Hall, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN263241 Issued in GA

Practice address

4385 Hereford Farm Rd
Evans, GA 30809-3409

Phone

(706) 210-0015

NPI assigned

Oct 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1275130239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4385 HEREFORD FARM RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093409",
            "telephone_number": "706-210-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4385 HEREFORD FARM RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093409",
            "telephone_number": "706-210-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN263241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Guyton, PHARM.D.
• Kimberly Gwynne, RDN
• Ashton Stewart Hall
• Joseph Hall Sr., DOCTOR PHD
• Susan Hall, MA, CCC-SLP
• Neil Jacob Haltom, PT, DPT
• Elizabeth W Hamilton, PT, DPT
• Tanisha Hamilton, RN
• Loys M Hanson, SLP
• Jenny Harbuck

• Family Nurse Practitioner in Evans, GA
• Providers in Evans, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.