Active NPI
Daniel Crawford Hall, M.D.
- Family Medicine Physician
- Shallotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20910
- Practice address
- 5145 Sellers Rd
Shallotte, NC 28470 - Phone
- (910) 754-4441
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20910 | NC | Primary |
Addresses
Primary practice location
5145 Sellers Rd
Shallotte, NC 28470
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (844) 266-8268
Other practice location 1
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
Other practice location 2
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
Other practice location 3
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
Other practice location 4
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24827 | Other | MEDCOST | |
| N20910 | Medicaid | SC | |
| FH1000140 | Other | FIRST CAROLINA CARE | |
| 8938226 | Medicaid | NC | |
| 7990526 | Other | AETNA | |
| 1808198001 | Other | CIGNA PAL | |
| 38226 | Other | NC | BCBS |
| 20910 | Other | NC | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhall528730@direct.novanthealth.org |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
512 Village Rd
Suite 103
Shallotte, NC 28470-3409
Phone (910) 754-4441
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4441
Hospital & facility affiliations
- Well Care Home Health
- Nhrmc Home Care
- Novant Health Brunswick Medical Center
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20910 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FHPG, LLC | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| FHPG, LLC | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989
512 Village Rd
Ste 103
Shallotte, NC 28470
Phone (910) 754-4441
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
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 and National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Family Medicine Physician
- Lillington, NC
- NPI 1760329486
-
- Family Medicine Physician
- Ellerbe, NC
- NPI 1336154129
-
- Family Medicine Physician
- Sanford, NC
- NPI 1942196035
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Family Medicine Physician
- Shallotte, NC
- NPI 1609528215
-
- Family Medicine Physician
- Shallotte, NC
- NPI 1710051123
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Home Health Agency
- Rocky Point, NC
- NPI 1144548405
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1669460374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "844-266-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 SELLERS RD",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "28470",
"telephone_number": "910-754-4441"
}
],
"practiceLocations": [
{
"address_1": "104 Physicians Park Dr",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "NC",
"postal_code": "28379",
"country_code": "US",
"telephone_number": "910-895-1989",
"fax_number": "910-895-9666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Physicians Park Dr",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "NC",
"postal_code": "28379",
"country_code": "US",
"telephone_number": "910-895-1989",
"fax_number": "910-895-9666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Physicians Park Dr",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "NC",
"postal_code": "28379",
"country_code": "US",
"telephone_number": "910-895-1989",
"fax_number": "910-895-9666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Physicians Park Dr",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "NC",
"postal_code": "28379",
"country_code": "US",
"telephone_number": "910-895-1989",
"fax_number": "910-895-9666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "DANIEL",
"middle_name": "CRAWFORD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2020-10-25",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "20910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "24827",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N20910",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CAROLINA CARE",
"identifier": "FH1000140",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8938226",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7990526",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PAL",
"identifier": "1808198001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "38226",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "20910",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dhall528730@direct.novanthealth.org",
"affiliation": "N",
"address_1": "104 Physicians Park Dr",
"city": "Rockingham",
"state": "NC",
"country_code": "US",
"postal_code": "28379",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shallotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.