Individual provider Active NPI

Debra Lee Hall, FNP

  • Family Nurse Practitioner
  • Dublin, GA
National Provider Identifier
1578080222
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN118934 Issued in GA
Practice address
2400 Bellevue Rd Ste 23
Dublin, GA 31021-2888
Phone
(478) 272-8580
Fax
(478) 272-4777
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 RN118934 GA Primary

Addresses

Primary practice location

2400 Bellevue Rd Ste 23
Dublin, GA 31021-2888

Mailing address

2400 Bellevue Rd Ste 23
Dublin, GA 31021-2888
Phone (478) 272-8580

Other identifiers 1

IdentifierTypeStateIssuer
003329521AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN118934GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin OB-GYN & Associates, P.C. CurrentSince Nov 9, 2025 Accepting new patients

Locations

2400 Bellevue Rd
Ste 23
Dublin, GA 31021
Phone (478) 272-8580

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3170/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1578080222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 23",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212888",
            "telephone_number": "478-272-8580",
            "fax_number": "478-272-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BELLEVUE RD STE 23",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212888",
            "telephone_number": "478-272-8580",
            "fax_number": "478-272-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "DEBRA",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN118934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003329521A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, GA

Sources for this page

Verify at the official NPI Registry.