Individual provider Active NPI

Jeffrey Wayne Hall, D.C

  • Neurology Chiropractor
  • Austin, TX
National Provider Identifier
1376880732
Registry record updated Jan 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
11361 Issued in TX
Practice address
3604 Sawmill Dr
Austin, TX 78749-6948
Phone
(512) 673-0336
Fax
(512) 291-6296
NPI assigned
Jan 5, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X 11361 TX Primary

Addresses

Primary practice location

3604 Sawmill Dr
Austin, TX 78749-6948

Mailing address

3604 Sawmill Dr
Austin, TX 78749-6948
Phone (512) 673-0336

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181018001730 TX Practitioner - Chiropractic 1951654045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Absolute Life Wellness Center, IncGroup PAC ID 0042448235, 5 clinicians

Practice addresses (Care Compare)

1807 W Slaughter LN
Suite 450
Austin, TX 78748-6269
Phone (512) 280-6103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11361TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Life Wellness Center, Inc CurrentSince Jun 22, 2024 Accepting new patients

Locations

1807 W Slaughter Ln
Ste 450
Austin, TX 78748
Phone (512) 280-6103

575 E FM 150
Unit E
Kyle, TX 78640
Phone (512) 262-7590

900 Bugg Ln
Ste 113
San Marcos, TX 78666

Organizations & group practices 1

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": "1357344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357344000000",
    "number": "1376880732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 SAWMILL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496948",
            "telephone_number": "512-673-0336",
            "fax_number": "512-291-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 SAWMILL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787496948",
            "telephone_number": "512-673-0336",
            "fax_number": "512-291-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-05",
        "last_updated": "2013-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "11361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; 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.