Active NPI
Lashley Todd Hall, PA
- Physician Assistant
- Thomaston, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3757
- Practice address
- 801 W Gordon St
Thomaston, GA 30286-3426 - Phone
- (706) 647-8111
- NPI assigned
- Dec 11, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3757 | GA | Primary |
Addresses
Primary practice location
801 W Gordon St
Thomaston, GA 30286-3426
Mailing address
861 SW 78TH Ave
Suite # 100-B
Plantation, FL 33324-3273
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060223000301 | GA | Practitioner - Physician Assistant | 6305852682 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Upson Family Medical Center, LLCUpson County Hospital IncFort Oglethorpe Emergency Physicians Group LLCUpson Medical Associates LLC
Practice addresses (Care Compare)
1512 Hwy 19 N
Thomaston, GA 30286-2258
Phone (706) 647-2641
206 Cherokee Rd
Thomaston, GA 30286-3402
Phone (706) 647-8111
801 W Gordon St
Thomaston, GA 30286-3426
Phone (706) 647-8111
Hospital & facility affiliations
- Upson Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3757 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upson Medical Associates LLC | Current | Accepting new patients | |
| Upson Medical Emergency Physicans, LLC | Past | Accepting new patients |
Locations
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Blue Ridge, GA
- NPI 1174024376
GA
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
GA
-
- Psychiatric Hospital Unit
- Thomaston, GA
- NPI 1225559610
-
- General Acute Care Hospital
- Thomaston, GA
- NPI 1659376630
-
- Rural Health Clinic/Center
- Thomaston, GA
- NPI 1700392438
-
- Emergency Medicine Physician
- Thomaston, GA
- NPI 1487678017
Hospital & facility affiliations 1
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": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250294400000",
"number": "1295895423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861 SW 78TH AVE",
"address_2": "SUITE # 100-B",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W GORDON ST",
"city": "THOMASTON",
"state": "GA",
"postal_code": "302863426",
"telephone_number": "706-647-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "LASHLEY",
"middle_name": "TODD",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2009-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "3757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2009; 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.