Individual provider Active NPI

Victoria McKenzie Hale, MD

  • Family Medicine Physician
  • Dandridge, TN
National Provider Identifier
1457989089
Registry record updated Aug 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68373 Issued in TN
Practice address
150 W Price Rd
Dandridge, TN 37725-4524
Phone
(865) 475-6161
Fax
(865) 475-9857
NPI assigned
Mar 30, 2020
Last updated
Aug 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 68373 TN Primary

Addresses

Primary practice location

150 W Price Rd
Dandridge, TN 37725-4524

Mailing address

150 W Price Rd
Dandridge, TN 37725-4524
Phone (865) 475-6161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915001021 TN Practitioner - Family Practice 2264896877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

150 W Price Rd
Dandridge, TN 37725-4524
Phone (865) 475-6161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians, P.C. Family Medicine CurrentSince Aug 9, 2023 Accepting new patients
Healthstar Physicians PC CurrentSince Aug 9, 2023 Accepting new patients
East Tennessee Primary Care Associates Family Medicine Past Accepting new patients

Locations

150 W Price Rd
Dandridge, TN 37725
Phone (865) 475-6161

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

Interoperability endpoints

  • Direct secure messaging: victoria.hale.1@3525.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691884800000",
    "number": "1457989089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W PRICE RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254524",
            "telephone_number": "865-475-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W PRICE RD",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254524",
            "telephone_number": "865-475-6161",
            "fax_number": "865-475-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "VICTORIA",
        "middle_name": "MCKENZIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "68373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

Verify at the official NPI Registry.