NPIMap

Individual provider Active NPI

Randall L. Hall, M.D.

  • Family Medicine Physician
  • Fairhope, AL
National Provider Identifier
1497739023
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9275 Issued in AL
Practice address
405 N Section St
Fairhope, AL 36532-2613
Phone
(251) 990-8860
Fax
(251) 990-3401
NPI assigned
Dec 6, 2005
Last updated
Mar 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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 9275 AL Primary

Addresses

Primary practice location

405 N Section St
Fairhope, AL 36532-2613

Mailing address

405 N Section St
Fairhope, AL 36532-2613
Phone (251) 990-8860

Other identifiers 2

IdentifierTypeStateIssuer
51092934OtherALBCBS
1497739023OtherALNPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080222000363 AL Practitioner - Family Practice 1951485408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 N Section St
Fairhope, AL 36532-2613
Phone (251) 990-8860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as individual
Quality
78.79
Improvement activities
40
Cost
69.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Randall L. Hall, M.D., P.C. Family Medicine Current Accepting new patients
Bay Medical Family Practice, P.C. Family Medicine Current Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Noland Fairhope, LLC Past Accepting new patients
Noland Eastern Shore, LLC Past Accepting new patients
Hands of Hope Health Care Family Medicine Past Accepting new patients

Locations

405 N Section St
Fairhope, AL 36532
Phone (251) 990-8860

Interoperability endpoints

  • Direct secure messaging: randall.hall@baymed.direct.medconnect-inc.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eastern Shore Rehabilitation and Health CenterDaphne, AL, CCN 015049 Skilled nursing facility Adp of the SNF May 13, 2016
Fairhope Health and RehabFairhope, AL, CCN 015222 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Nov 1, 2017
Nov 1, 2017
Nov 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Noland Eastern Shore, LLC

    dba Eastern Shore Rehabilitation and Health Center

    • Skilled Nursing Facility
    • Daphne, AL
    • NPI 1497113740

    Adp of the SNF

    CMS ownership
  • Noland Fairhope, LLC

    dba Fairhope Health and Rehab

    • Skilled Nursing Facility
    • Fairhope, AL
    • NPI 1134648405

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Organizations & group practices 6

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1497739023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322613",
            "telephone_number": "251-990-8860",
            "fax_number": "251-990-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N SECTION ST",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322613",
            "telephone_number": "251-990-8860",
            "fax_number": "251-990-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "RANDALL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "9275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51092934",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497739023",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.