Active NPI
Rachel Elizabeth Hall, M.D.
- Family Medicine Physician
- Columbia, SC
National Provider Identifier
1366417404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21827
- Practice address
- 3209 Colonial Dr
Columbia, SC 29203-6930 - Phone
- (803) 434-6113
- Fax
- (803) 434-7231
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21827 | SC | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 21827 | SC |
Addresses
Primary practice location
3209 Colonial Dr
Columbia, SC 29203-6930
Mailing address
3209 Colonial Dr
Columbia, SC 29203-6930
Phone (803) 434-6116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218277 | Medicaid | SC |
Other names 1
- Dr. Rachel E Drew
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 28, 2017 through Mar 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21827 | SC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1366417404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3209 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-6116",
"fax_number": "803-434-7529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3209 COLONIAL DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036930",
"telephone_number": "803-434-6113",
"fax_number": "803-434-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "RACHEL",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "21827",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "21827",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218277",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "DREW",
"middle_name": "E",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.