NPIMap

Individual provider Active NPI

Gregory L Hall, MD

  • Family Medicine Physician
  • Donalsonville, GA
National Provider Identifier
1295815215
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051586 Issued in GA
Practice address
804 N Wiley Ave
Donalsonville, GA 39845-1120
Phone
(229) 524-2808
Fax
(229) 524-1272
NPI assigned
Oct 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051586 GA Primary

Addresses

Primary practice location

804 N Wiley Ave
Donalsonville, GA 39845-1120

Mailing address

804 N Wiley Ave
Donalsonville, GA 39845-1120
Phone (229) 524-2808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000423 GA Practitioner - Family Practice 2668577826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

804 N Wiley Ave
Donalsonville, GA 39845-1120
Phone (229) 524-1307

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051586GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Wiregrass Medical & Surgical Group Inc Family Medicine CurrentSince Apr 25, 2007 Accepting new patients
Southwest Georgia Healthcare Clinics Inc Family Medicine CurrentSince Oct 4, 2021 Accepting new patients
Southwest Georgia Healthcare Clinics Inc CurrentSince Oct 4, 2021 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Donalsonville Hospital, Inc Past Accepting new patients
Donalsonville Hospital Inc Past Accepting new patients

Locations

205 Bresee St
Donalsonville, GA 39845
Phone (229) 524-1307

804 N Wiley Ave
Donalsonville, GA 39845
Phone (229) 524-2808

Interoperability endpoints

  • Direct secure messaging: gregory.hall@gadirect.net
  • FHIR API: https://fhir-usa.unify.chbase.com/org/donalso-e0e81471

Organizations & group practices 6

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295815215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N WILEY AVE",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451120",
            "telephone_number": "229-524-2808",
            "fax_number": "229-524-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N WILEY AVE",
            "city": "DONALSONVILLE",
            "state": "GA",
            "postal_code": "398451120",
            "telephone_number": "229-524-2808",
            "fax_number": "229-524-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GREGORY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Donalsonville, GA

Sources for this page

Verify at the official NPI Registry.