Individual provider Active NPI

Lloyd S Hale, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bryson City, NC
National Provider Identifier
1619963048
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
380 Issued in NC
Practice address
80 Bryson Walk
Bryson City, NC 28713-8731
Phone
(828) 488-8200
Fax
(828) 488-8221
NPI assigned
Sep 21, 2005
Last updated
May 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 380 NC
Primary Podiatric Medicine Podiatrist 213EP1101X 380 NC Primary

Addresses

Primary practice location

80 Bryson Walk
Bryson City, NC 28713-8731

Mailing address

PO Box 2757
Bryson City, NC 28713-1730
Phone (828) 488-8200

Other identifiers 2

IdentifierTypeStateIssuer
890800AMedicaidNC
0800AOtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051005000164 NC Practitioner - Podiatry 0042245441 Practice locations: Kings Mountain, NC; Lenoir, NC; Marion, NC; Mocksville, NC; Nebo, NC; Reidsville, NC; Roxboro, NC; Rutherford College, NC…

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
380NCMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
G & M Associates Inc Past Accepting new patients
Southern Assisted Living, LLC. PastSince Apr 11, 2021 Accepting new patients
Smoky Mountain Foot Clinic PA Podiatrist Past Accepting new patients
Smoky Mountain Foot Clinic PA Podiatrist Past Accepting new patients
Act Medical Group PA Past Accepting new patients
Smoky Mountain Foot Clinic PA Podiatrist Past Accepting new patients
Smoky Mountain Foot Clinic PA Podiatrist Past Accepting new patients
Carolina Caring, Inc. Past Accepting new patients
Smoky Mountain Foot Clinic PA Podiatrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/01b09d82-4514-482c-85d3-2d53721811fb/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1619963048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2757",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287131730",
            "telephone_number": "828-488-8200",
            "fax_number": "828-488-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 BRYSON WALK",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287138731",
            "telephone_number": "828-488-8200",
            "fax_number": "828-488-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "LLOYD",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "380",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890800A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0800A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryson City, NC

Sources for this page

Verify at the official NPI Registry.