Individual provider Active NPI

Susan McCall Hall, NP

  • Neonatal Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1356969265
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
5013283 Issued in NC
Practice address
2212 S 17TH St
Wilmington, NC 28401-7515
Phone
(910) 667-2970
NPI assigned
Jul 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013283 NC
Neonatal Nurse Practitioner 363LN0000X 5013283 NC Primary

Addresses

Primary practice location

2212 S 17TH St
Wilmington, NC 28401-7515

Mailing address

617 Green Valley Dr
Wilmington, NC 28412-3509
Phone (910) 231-2332

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 667-2970

Other practice location 2

20 Medical Campus Dr NW Ste 205
Supply, NC 28462-4094
Phone (910) 721-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shall543373@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220718002141 SC Practitioner - Nurse Practitioner 1951782226 Reassigns benefits to 1 organization
I20241122000498 NC Practitioner - Nurse Practitioner 1951782226 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Loris Seacoast Hospital CurrentSince Sep 7, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group LLC CurrentSince Sep 25, 2024 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Sep 25, 2024 Accepting new patients
NMG Health Services LLC CurrentSince Sep 25, 2024 Accepting new patients
McLeod Loris Seacoast Hospital CurrentSince Sep 7, 2022 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 25, 2024 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

20 Medical Campus Dr NW
Ste 205
Supply, NC 28462
Phone (910) 721-4400

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000

Interoperability endpoints

  • Direct secure messaging: shall543373@direct.unc.nchie.net
  • Direct secure messaging: shall1246700@direct.novanthealth.org

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1356969265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 GREEN VALLEY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284123509",
            "telephone_number": "910-231-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017515",
            "telephone_number": "910-667-2970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-667-2970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Medical Campus Dr NW Ste 205",
            "address_purpose": "LOCATION",
            "city": "Supply",
            "state": "NC",
            "postal_code": "284624094",
            "country_code": "US",
            "telephone_number": "910-721-4400",
            "fax_number": "910-721-4409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSAN",
        "middle_name": "MCCALL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013283",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "5013283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shall543373@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.