John Vincent Hall Jr., NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08096 Issued in LA

Practice address

64167 Highway 41 Ste C
Pearl River, LA 70452-3638

Phone

(985) 250-9700

Fax

(844) 899-5208

NPI assigned

Aug 6, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Orange Grove Urgent Care

  • Urgent Care Clinic/Center
  • Gulfport, MS
  • NPI 1831330661
  Medicare reassignment NPD
• Gulfport 49 Imaging, LLC

  • Radiology Clinic/Center
  • Gulfport, MS
  • NPI 1134702301
  NPD
• Children's International L.L.C.

  • Pediatrics Physician
  • Slidell, LA
  • NPI 1073620498
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1548679244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S SHIVERS ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703225",
            "telephone_number": "601-270-0038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64167 HIGHWAY 41 STE C",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523638",
            "telephone_number": "985-250-9700",
            "fax_number": "844-899-5208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_suffix": "Jr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R889798",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2409964",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Dickens, CSFA
• Melanie Toups Doll
• John Philip Epling III, D.D.S
• Evans Enterprises Inc (Evans Drug Mart)
• Cecelia A. Glaviano, LCSW
• Lisa R Hasenkampf, LCSW
• Hifidelity Imaging 2 LLC
• J Philip Epling III a Professional Dental Corp
• Katey James, PHARMD
• Keenan's Transportation, LLC

• Family Nurse Practitioner in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.

Verify at the official NPI Registry.