Active NPI
Barbara Hall, NURSE PRACTITIONER
- Family Nurse Practitioner
- Blufton, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19249
- Practice address
- 1008 Ford Island Road
Blufton, SC 29910-2886 - Phone
- (866) 389-2727
- NPI assigned
- Jan 22, 2015
- Last updated
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 191606 | GA | |
| Family Nurse Practitioner | 363LF0000X | 19249 | SC | Primary |
Addresses
Primary practice location
1008 Ford Island Road
Blufton, SC 29910-2886
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone (866) 389-2727
Other practice location 1
5401 Abercorn St
Savannah, GA 31405-6901
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191606 | GA | MD | Family Nurse Practitioner |
| 19249 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
Locations
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
5401 Abercorn St
Savannah, GA 31405
Phone (912) 354-7676
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 1
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": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1669861068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 FORD ISLAND ROAD",
"city": "BLUFTON",
"state": "SC",
"postal_code": "299102886",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "5401 Abercorn St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314056901",
"country_code": "US",
"telephone_number": "866-389-2727",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "BARBARA",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2024-01-10",
"certification_date": "2022-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "191606",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "19249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.