Active NPI
Andrew Justin Hall, M.D.
- Diagnostic Radiology Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 00222
- Practice address
- 1025 Medical Center Dr
Delaney Radiologists Group, PLLC
Wilmington, NC 28401 - Phone
- (910) 763-1800
- Fax
- (910) 763-6419
- NPI assigned
- Jun 30, 2005
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 00222 | NC | Primary |
Addresses
Primary practice location
1025 Medical Center Dr
Delaney Radiologists Group, PLLC
Wilmington, NC 28401
Mailing address
1025 Medical Center Dr
Delaney Radiologists Group, PLLC
Wilmington, NC 28401
Phone (910) 763-1800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7901897 | Medicaid | NC | |
| 8901898 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.57 of 100
- Quality
- 80.67
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.72 of 100
- Quality
- 88.57
- Improvement activities
- 40
- Cost
- 60.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00222 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients | |
| Delaney Radiologists PA | Current | Accepting new patients | |
| Delaney Radiologists Group PLLC | Current | Accepting new patients |
Locations
2000 Brabham Ave
Ste 110
Jacksonville, NC 28546
Phone (910) 939-3110
1025 Medical Center Dr
Wilmington, NC 28401
Phone (910) 762-3882
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1295732691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MEDICAL CENTER DR",
"address_2": "DELANEY RADIOLOGISTS GROUP, PLLC",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-763-1800",
"fax_number": "910-763-6419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MEDICAL CENTER DR",
"address_2": "DELANEY RADIOLOGISTS GROUP, PLLC",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-763-1800",
"fax_number": "910-763-6419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANDREW",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "00222",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7901897",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901898",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.