Gregory L Hall, MD
Individual provider Active NPI Family Medicine Physician · Donalsonville, GA
NPI 1295815215 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1295815215
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 051586 (GA)
- Practice address
- 804 N Wiley Ave
Donalsonville, GA 39845-1120 - Phone
- (229) 524-2808
- Fax
- (229) 524-1272
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Southwest Georgia Healthcare Clinics, Inc.
Practice addresses (Care Compare)
804 N Wiley Ave
Donalsonville, GA 39845-1120
Phone (229) 524-1307
Hospital & facility affiliations
- Centerwell Home Health
- Georgia Hospice Care
- Donalsonville Hospital Inc
- Memorial Hospital and Manor
- Southeast Health Medical Center
- Archbold Memorial Hospital
- Seminole Manor Nursing Home
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070417000423 | GA | Practitioner - Family Practice | 2668577826 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Georgia Healthcare Clinics Inc | Family Medicine | Current |
Accepting new patients |
| The Wiregrass Medical & Surgical Group Inc | Family Medicine | Current |
Accepting new patients |
| Southwest Georgia Healthcare Clinics Inc | Current |
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
- https://fhir-usa.unify.chbase.com/org/donalso-e0e81471
- gregory.hall@gadirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 051586 | GA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000956117B | Medicaid | GA | |
| 051586 | Other | GA | GA LICENSE |
Other providers in Donalsonville, GA
- Future Vision of Southwest Georgia
- Gentle Care Clinical Collections
- Georgia Pines Community Service Board
- Rachel Brooks Gilbert
- Stephen L Gilbreath
- Michael Hampton Jr.
- Sarah Walker Hampton
- Candice Nicole Hardeman
- Scott Hartzog
- Sherry R Hawkins
All providers in Donalsonville, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.