Organization Active NPI

Pamela Hall, MD PC

  • Family Medicine Physician
  • Madison, GA
National Provider Identifier
1639688989
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
050886 Issued in GA
Legal business name
PAMELA HALL, MD PC
Practice address
2002 S Main St
Madison, GA 30650-2054
Phone
(706) 438-1122
Fax
(706) 438-4254
NPI assigned
Sep 28, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Pamela G. Hall, MDNPI 1437121639
Title
Physician
Phone
(706) 438-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 050886 GA Primary

Addresses

Primary practice location

2002 S Main St
Madison, GA 30650-2054

Mailing address

2002 S Main St
Madison, GA 30650-2054
Phone (706) 438-1122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171013000537 GA Part B Supplier - Clinic/Group Practice 1557636768 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0262103Pamela Hall MD PC2002 South Main Street, Madison, GA 30650Certificate of waiverSep 2, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15011/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639688989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502054",
            "telephone_number": "706-438-1122",
            "fax_number": "706-438-4254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 S MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306502054",
            "telephone_number": "706-438-1122",
            "fax_number": "706-438-4254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA HALL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-438-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.