Mauverine Jo Hall, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

94-00819 Issued in NC

Practice address

3010 Falstaff Rd
Raleigh, NC 27610-1813

Phone

(919) 212-9230

NPI assigned

Jan 4, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Johnston Primary Care Physician Services Inc

  dba Johnston Medical Associates

  • Family Medicine Physician
  • Smithfield, NC
  • NPI 1841455755
  NPD (past)
• Morehead Memorial Hospital

  dba Morehead Urgent Care-West

  • Emergency Medical Services (Emergency Medicine) Physician
  • Mayodan, NC
  • NPI 1194153569
  NPD (past)
• Morehead Memorial Hospital

  dba Morehead Family Medicine

  • Family Medicine Physician
  • Eden, NC
  • NPI 1760797294
  NPD (past)
• Roxboro Medaccess Primary Care

  • Primary Care Clinic/Center
  • Roxboro, NC
  • NPI 1154559581
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609854124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BALMORAL STREET",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275204044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101813",
            "telephone_number": "919-212-9230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 E. Windsor Rd.",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618029566",
            "country_code": "US",
            "telephone_number": "217-255-9670",
            "fax_number": "217-255-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MAUVERINE",
        "middle_name": "JO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139295",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "24786",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NC",
            "license": "94-00819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-38385",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Hall
• Kala C Hall, PTA
• Karen Hall, PHD
• Kristen Nicole Hall, PNP, PMHNP
• Marissa Hall, MSW, LCSW
• Michael L. Hall, DC
• Michael Raymond Hall, M.D.
• Molly B Hall, D.C.
• Nicole Hall
• Rebekah Hall

• Adult Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.