Active NPI
Tami Lillian Hall, FNP-BC
- Family Nurse Practitioner
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN199099
- Practice address
- 50 Kelly Rd
McDonough, GA 30253-6097 - Phone
- (770) 957-1887
- NPI assigned
- Apr 20, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN577772 | PA | |
| Family Nurse Practitioner | 363LF0000X | 336505 | NY | |
| Registered Nurse | 163W00000X | RN595239 | NY | |
| Family Nurse Practitioner | 363LF0000X | RN199099 | GA | Primary |
Addresses
Primary practice location
50 Kelly Rd
McDonough, GA 30253-6097
Mailing address
3333 Riverwood Pkwy SE Ste 250
Atlanta, GA 30339-3304
Phone (470) 615-3389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210818002625 | GA | Practitioner - Nurse Practitioner | 8022231257 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Emory Clinic IncAylo Health, LLCPhysiotherapy Associates Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711
50 Kelly Rd
Suite 200
McDonough, GA 30253-6097
Phone (770) 914-0116
655 Molly LN
Woodstock, GA 30189-6519
Phone (770) 517-1080
Hospital & facility affiliations
- Emory Decatur Hospital
- Emory University Hospital
- Emory University Hospital Midtown
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN595239 | NY | MD | Registered Nurse |
| RN577772 | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current | Accepting new patients | |
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Current | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients |
Locations
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
50 Kelly Rd
McDonough, GA 30253
Phone (770) 957-1887
50 Kelly Rd
Ste 200
McDonough, GA 30253
Phone (770) 957-1887
65 Old Jackson Rd
McDonough, GA 30252
Phone (678) 490-0080
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
Interoperability endpoints
- thall996098@direct.emory.org
Organizations & group practices 13
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.
-
- Ambulatory Surgical Clinic/Center
- Lagrange, GA
- NPI 1285912600
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1295748531
-
- Ambulatory Surgical Clinic/Center
- Decatur, GA
- NPI 1306472063
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1346403854
-
- Ambulatory Surgical Clinic/Center
- Jonesboro, GA
- NPI 1386165504
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1811765902
-
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
- NPI 1023359627
-
- Ambulatory Surgical Clinic/Center
- Tucker, GA
- NPI 1952098667
-
- Diagnostic Radiology Physician
- Locust Grove, GA
- NPI 1194433219
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1407147754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 RIVERWOOD PKWY SE STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393304",
"telephone_number": "470-615-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 KELLY RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302536097",
"telephone_number": "770-957-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "TAMI",
"middle_name": "LILLIAN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-20",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN577772",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336505",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "RN595239",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN199099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.
- 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.