Individual provider Active NPI

Taylor Ellen Hall, FNP

  • Family Nurse Practitioner
  • Eatonton, GA
National Provider Identifier
1447800503
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN207296 Issued in GA
Practice address
119 Harmony Xing Ste 3
Eatonton, GA 31024-9571
Phone
(706) 485-4004
Fax
(706) 262-2986
NPI assigned
Sep 19, 2019
Last updated
Jul 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN207296 GA Primary

Addresses

Primary practice location

119 Harmony Xing Ste 3
Eatonton, GA 31024-9571

Mailing address

186 Mathews Ave
Athens, GA 30606-2952
Phone (678) 367-1571

Other practice location 1

117 Harmony Xing Ste 1
Eatonton, GA 31024-9548
Phone (706) 485-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1447800503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MATHEWS AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062952",
            "telephone_number": "678-367-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HARMONY XING STE 3",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249571",
            "telephone_number": "706-485-4004",
            "fax_number": "706-262-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Harmony Xing Ste 1",
            "address_purpose": "LOCATION",
            "city": "Eatonton",
            "state": "GA",
            "postal_code": "310249548",
            "country_code": "US",
            "telephone_number": "706-485-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "TAYLOR",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.