Individual provider Active NPI

Leaton Harmon Hall Jr., MD

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1356373435
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0068344 Issued in FL
Practice address
2001 Miccosukee Rd
Tallahassee, FL 32308-5307
Phone
(850) 878-5151
Fax
(850) 878-6723
NPI assigned
Jul 7, 2006
Last updated
Aug 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0068344 FL Primary

Addresses

Primary practice location

2001 Miccosukee Rd
Tallahassee, FL 32308-5307

Mailing address

2001 Miccosukee Rd
Tallahassee, FL 32308-5307
Phone (850) 878-5151

Other identifiers 1

IdentifierTypeStateIssuer
378713300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120529000391 FL Practitioner - Obstetrics/Gynecology 9032372156 Reassigns benefits to 1 organization
I20240808000603 GA Practitioner - Obstetrics/Gynecology 9032372156 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0068344FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 10, 2019 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince May 31, 2024 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Nov 10, 2019 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 603-5203

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1356373435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085307",
            "telephone_number": "850-878-5151",
            "fax_number": "850-878-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085307",
            "telephone_number": "850-878-5151",
            "fax_number": "850-878-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "LEATON",
        "middle_name": "HARMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0068344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378713300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.