Active NPI
David M. Hall, DC
- Chiropractor
- Ellenwood, GA
National Provider Identifier
1598854804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 002717
- Practice address
- 421 Fairview Rd
Ellenwood, GA 30294-2632 - Phone
- (770) 389-1901
- Fax
- (770) 389-3016
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 002717 | GA | Primary |
Addresses
Primary practice location
421 Fairview Rd
Ellenwood, GA 30294-2632
Mailing address
421 Fairview Rd
Ellenwood, GA 30294-2632
Phone (770) 389-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1188 Stonecrest Blvd
Suite 102
Tega Cay, SC 29708-6633
Phone (803) 412-2240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hall Chiropractic Center, LLC | Chiropractor | Current | Accepting new patients |
| Fairview Chiropractic Center, LLC | Past | Accepting new patients |
Locations
1188 Stonecrest Blvd
Ste 102
Tega Cay, SC 29708
Phone (803) 412-2240
Organizations & group practices 2
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.
-
- Chiropractor
- Fort Mill, SC
- NPI 1083948590
-
- Clinic/Center
- Ellenwood, GA
- NPI 1598129199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1598854804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 FAIRVIEW RD",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942632",
"telephone_number": "770-389-1901",
"fax_number": "770-389-3016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 FAIRVIEW RD",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942632",
"telephone_number": "770-389-1901",
"fax_number": "770-389-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "002717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.