Individual provider Active NPI

Lashley Todd Hall, PA

  • Physician Assistant
  • Thomaston, GA
National Provider Identifier
1295895423
Registry record updated Aug 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3757 Issued in GA
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

Updated by the provider on Aug 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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, LLC 6 clinicians
Upson County Hospital Inc 11 clinicians
Fort Oglethorpe Emergency Physicians Group LLC 5 clinicians
Upson Medical Associates LLC 89 clinicians

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 Hospital, Thomaston, GA, CCN 110002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3757GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upson Medical Associates LLC CurrentSince Jan 8, 2026 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.

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

Verify at the official NPI Registry.