Individual provider Active NPI

Christopher Hall, M.D.

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1295754729
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A77488 Issued in CA
Practice address
3100 Summit
2ND Floor
Oakland, CA 94609-0000
Phone
(510) 869-8400
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A77488 CA Primary

Addresses

Primary practice location

3100 Summit
2ND Floor
Oakland, CA 94609-0000

Mailing address

PO Box 255348
Sacramento, CA 95865-5348
Phone (916) 854-6975

Other identifiers 1

IdentifierTypeStateIssuer
00A774880MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240222002442 GA Practitioner - Infectious DiseasePractitioner - Internal Medicine 4385662055 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A77488CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longs Drugs of Sandersville Georgia Inc CurrentSince Jan 1, 2024 Accepting new patients
Absolutecare, LLC Current Accepting new patients
Long'S Drugs of Sandersville, Georgia, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2140 Peachtree Rd NW
Ste 232
Atlanta, GA 30309
Phone (888) 708-0561

10604 Coursey Blvd
Baton Rouge, LA 70816
Phone (225) 236-1543

Interoperability endpoints

  • Direct secure messaging: chris.hall.1@19960.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295754729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255348",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655348",
            "telephone_number": "916-854-6975",
            "fax_number": "916-854-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SUMMIT",
            "address_2": "2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946090000",
            "telephone_number": "510-869-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A774880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.