Active NPI
Peyton R Hall, M.D.
- Obstetrics & Gynecology Physician
- West Monroe, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 012274
- Practice address
- 417 McMillan Rd
West Monroe, LA 71291-5325 - Phone
- (318) 322-7119
- Fax
- (318) 325-8475
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 012274 | LA | Primary |
Addresses
Primary practice location
417 McMillan Rd
West Monroe, LA 71291-5325
Mailing address
312 Grammont St
Suite 300
Monroe, LA 71201-7457
Phone (318) 388-4030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1166286 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061012000175 | LA | Practitioner - Obstetrics/Gynecology | 4486617099 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brfhh Monroe LLC | Current | Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Obstetrics & Gynecology | Current | Accepting new patients |
| Brfhh Monroe LLC | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
LA, Obstetrics & Gynecology
-
- Psychiatric Hospital Unit
- Monroe, LA
- NPI 1255761151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508869801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 GRAMMONT ST",
"address_2": "SUITE 300",
"city": "MONROE",
"state": "LA",
"postal_code": "712017457",
"telephone_number": "318-388-4030",
"fax_number": "318-324-3334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 MCMILLAN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915325",
"telephone_number": "318-322-7119",
"fax_number": "318-325-8475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "PEYTON",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "012274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1166286",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.