Individual provider Active NPI

Ellie Parrish Hall, FNP

  • Family Nurse Practitioner
  • Byron, GA
National Provider Identifier
1295699288
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP312084 Issued in GA
Practice address
110 Jailhouse Aly
Byron, GA 31008-3200
Phone
(478) 508-0957
NPI assigned
Dec 12, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2866 Johnson Ferry Rd
Suite 200
Marietta, GA 30062-8348

PO Box
Atlanta, GA 30368

Hospital & facility affiliations

  • Emory Houston Hospital Warner Robins Hospital · Warner Robins, GA · CCN 110069

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260424000031 GA Practitioner - Nurse Practitioner 0446727762 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
APRN-NP312084GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Current
since Feb 1, 2026
Accepting new patients
Hometown Healthcare of Byron LLC Family Past
since Dec 14, 2025
Accepting new patients

Locations

110 Jailhouse Aly
Byron, GA 31008
Phone (478) 508-0957

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

1531 Watson Blvd
Warner Robins, GA 31093
Phone (478) 599-0110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGHFCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP312084 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

110 Jailhouse Aly
Byron, GA 31008-3200

Mailing address

110 Jailhouse Aly
Byron, GA 31008-3200
Phone (478) 654-5327

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2026.

{
    "created_epoch": "1765497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1295699288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 JAILHOUSE ALY",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083200",
            "telephone_number": "478-654-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 JAILHOUSE ALY",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310083200",
            "telephone_number": "478-508-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ELLIE",
        "middle_name": "PARRISH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-12",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP312084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron, GA

Sources for this page

Verify at the official NPI Registry.