Individual provider Active NPI

Courtney K Hall, CRNA

  • Certified Registered Nurse Anesthetist
  • Summerville, SC
National Provider Identifier
1346572922
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4102 Issued in SC
Practice address
207 McBride LN
Summerville, SC 29486-7939
Phone
(843) 722-8000
NPI assigned
Feb 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4102 SC Primary

Addresses

Primary practice location

207 McBride LN
Summerville, SC 29486-7939

Mailing address

2001 2ND Ave Ste 101
Summerville, SC 29486-7887
Phone (843) 722-8000

Other identifiers 1

IdentifierTypeStateIssuer
AN2046MedicaidSC

Other names 1

  • Courtney K Taylor Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000103 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789713280 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1962 Charlie Hall Blvd
Charleston, SC 29414-5837
Phone (843) 722-8000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4102SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Healthcare Resources Inc Nurse Anesthetist, Certified Registered CurrentSince May 19, 2018 Accepting new patients
Charleston Gastroenterology Specialists CurrentSince Nov 1, 2023 Accepting new patients
Musc Community Physicians Current Accepting new patients
Charleston Gastroenterology Specialists CurrentSince Nov 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Dec 13, 2022 Accepting new patients
Anesthesia Associates of Charleston, P.a. CurrentSince Jun 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Dec 13, 2022 Accepting new patients
Anesthesia Network Services, LLC Past Accepting new patients
Mobile Anesthesia, LLC Past Accepting new patients

Locations

101 W 27th St
Lumberton, NC 28358
Phone (910) 739-0770

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1064 Gardner Rd
Ste 112
Charleston, SC 29407
Phone (843) 723-3441

1962 Charlie Hall Blvd
Charleston, SC 29414
Phone (803) 722-8000

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

3545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 294-1941

207 McBride Ln
Summerville, SC 29486
Phone (843) 722-8000

2001 2nd Ave
Ste 101
Summerville, SC 29486
Phone (843) 722-8000

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.

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1346572922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 2ND AVE STE 101",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867887",
            "telephone_number": "843-722-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MCBRIDE LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867939",
            "telephone_number": "843-722-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "COURTNEY",
        "middle_name": "K",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN2046",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "TAYLOR",
            "middle_name": "K",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.