Active NPI
Anthony James Hall, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN200530
- Practice address
- 1415 Highway 85 N # 310302
Fayetteville, GA 30214-7738 - Phone
- (678) 551-7083
- Fax
- (678) 487-5367
- NPI assigned
- Oct 26, 2019
- Last updated
- May 13, 2022
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN200530 | GA | Primary |
Addresses
Primary practice location
1415 Highway 85 N # 310302
Fayetteville, GA 30214-7738
Mailing address
1415 Highway 85 N # 310302
Fayetteville, GA 30214-7738
Phone (678) 551-7083
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1415 Hwy 85 N
Fayetteville, GA 30214-7738
Phone (678) 551-7083
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esfahani Enterprises LLC | Current | Accepting new patients | |
| Ascension Psychiatric Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Personal Recovery Network LLC | Current | Accepting new patients | |
| The Neuropsychiatric Clinic of Atlantis-Villa Rica, P.C. | Past | Accepting new patients |
Locations
1415 Highway 85 N
Ste 310302
Fayetteville, GA 30214
Phone (678) 551-7083
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
700 Churchill Ct
Ste 140
Woodstock, GA 30188
Phone (678) 384-4911
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fayetteville, GA
- NPI 1720748262
-
dba LifeStance Health
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
-
- Psychiatry Physician
- Lithia Springs, GA
- NPI 1598718512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1558904169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 HIGHWAY 85 N # 310302",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147738",
"telephone_number": "678-551-7083",
"fax_number": "678-487-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 HIGHWAY 85 N # 310302",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147738",
"telephone_number": "678-551-7083",
"fax_number": "678-487-5367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-26",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "RN200530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.