Individual provider Active NPI

Courtney Renee Hall, FNP

  • Family Nurse Practitioner
  • Clemmons, NC
National Provider Identifier
1649092313
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5021122 Issued in NC
Practice address
2770 Lewisville Clemmons Rd
Clemmons, NC 27012-8716
Phone
(866) 389-2727
NPI assigned
Oct 24, 2024
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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 5021122 NC Primary

Addresses

Primary practice location

2770 Lewisville Clemmons Rd
Clemmons, NC 27012-8716

Mailing address

8350 Jefferson Church Rd
Rural Hall, NC 27045-9418
Phone (336) 582-8602

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251023003866 NC Practitioner - Nurse Practitioner 0244768513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians

Practice addresses (Care Compare)

2770 Lewisville Clemmons Rd
Clemmons, NC 27012-8716
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Sep 24, 2025 Accepting new patients
Minuteclinic Primary Care North Carolina PLLC Family CurrentSince Jan 28, 2026 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Jan 28, 2026 Accepting new patients
Northern Hospital of Surry County Past Accepting new patients

Locations

10100 S Main St
Archdale, NC 27263
Phone (336) 431-0715

2311 Lewisville Clemmons Rd
Fl 3
Clemmons, NC 27012
Phone (336) 713-8900

2770 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 712-0663

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045
Phone (336) 716-9270

312 Jonestown Rd
Winston Salem, NC 27104
Phone (336) 716-7576

3333 Brookview Hills Blvd
Ste 201
Winston Salem, NC 27103
Phone (336) 602-2801

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: chall3033265@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1649092313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 JEFFERSON CHURCH RD",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459418",
            "telephone_number": "336-582-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 LEWISVILLE CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128716",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "COURTNEY",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.