Individual provider Active NPI

Christopher Hall

  • Pain Medicine Physician
  • Hendersonville, TN
National Provider Identifier
1689244220
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
5172 Issued in TN
Practice address
625 Johnny Cash Blvd Ste 3
Hendersonville, TN 37075-2602
Phone
(615) 431-5484
NPI assigned
Jun 27, 2021
Last updated
Nov 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pain Medicine Physician 208VP0000X 5172 TN Primary

Addresses

Primary practice location

625 Johnny Cash Blvd Ste 3
Hendersonville, TN 37075-2602

Mailing address

625 Johnny Cash Blvd Ste 3
Hendersonville, TN 37075-2602

Other practice location 1

333 Murfreesboro Pike
Nashville, TN 37210-2834
Phone (615) 248-1200

Other practice location 2

5114 Old Hickory Blvd Ste 201
Hermitage, TN 37076-2590
Phone (615) 850-6960

Other practice location 3

406 N Whitney Ave Ste 2
Cookeville, TN 38501-4243
Phone (615) 431-5484

Other names 1

  • Chris Hall Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230526001668 TN Practitioner - Physician Assistant 2567829088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ken Homolya MD LLCGroup PAC ID 5799960464, 12 clinicians

Practice addresses (Care Compare)

5114 Old Hickory Blvd
Suite 201
Hermitage, TN 37076-2590
Phone (615) 431-5484

625 E Main St
Suite 3
Hendersonville, TN 37075-2602
Phone (615) 431-5484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Homolya, MD, LLC CurrentSince Apr 19, 2023 Accepting new patients
Trevecca Nazarene University PastSince Jul 1, 2021 Accepting new patients

Locations

406 N Whitney Ave
Ste 2
Cookeville, TN 38501
Phone (931) 372-1799

929 W Jackson St
Ste A
Cookeville, TN 38501
Phone (931) 372-1799

103 Hazel Path
Ste 7
Hendersonville, TN 37075
Phone (615) 431-5484

625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484

5114 Old Hickory Blvd
Ste 201
Hermitage, TN 37076
Phone (615) 431-5484

Organizations & group practices 3

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": "1624752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1689244220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 JOHNNY CASH BLVD STE 3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 JOHNNY CASH BLVD STE 3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602",
            "telephone_number": "615-431-5484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Murfreesboro Pike",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372102834",
            "country_code": "US",
            "telephone_number": "615-248-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5114 Old Hickory Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762590",
            "country_code": "US",
            "telephone_number": "615-850-6960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 N Whitney Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014243",
            "country_code": "US",
            "telephone_number": "615-431-5484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-27",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TN",
            "license": "5172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRIS",
            "last_name": "HALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.