Individual provider Active NPI

Susanna Hall, FNP

  • Family Nurse Practitioner
  • Tuscumbia, AL
National Provider Identifier
1487988150
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-104304 Issued in AL
Practice address
1106 N Cave St
Tuscumbia, AL 35674
Phone
(256) 386-7774
Fax
(256) 386-7780
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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 1-104304 AL Primary

Addresses

Primary practice location

1106 N Cave St
Tuscumbia, AL 35674

Mailing address

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone (256) 383-4447

Other practice location 1

1120 S Jackson Hwy Ste 300
Sheffield, AL 35660-5773
Phone (256) 383-4447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100712000054 AL Practitioner - Nurse Practitioner 1254463219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of the Shoals, P.C.Group PAC ID 1456317833, 24 clinicians

Practice addresses (Care Compare)

1106 N Cave St
Tuscumbia, AL 35674-1358
Phone (256) 386-7774

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as individual
Quality
82.77
Promoting interoperability
100
Improvement activities
40
Cost
44.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-104304ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Shoals, P.C. CurrentSince Sep 1, 2017 Accepting new patients
Express Med of Tennessee, LLC Past Accepting new patients

Locations

351 Highway 64
Killen, AL 35645
Phone (256) 272-8066

1120 S Jackson Hwy
Ste 300
Sheffield, AL 35660
Phone (256) 383-4447

1106 N Cave St
Tuscumbia, AL 35674
Phone (256) 386-0558

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDCJBD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1487988150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY STE 300",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605773",
            "telephone_number": "256-383-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N CAVE ST",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "35674",
            "telephone_number": "256-386-7774",
            "fax_number": "256-386-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 S Jackson Hwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "AL",
            "postal_code": "356605773",
            "country_code": "US",
            "telephone_number": "256-383-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-104304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

Verify at the official NPI Registry.