Individual provider Active NPI

Nina Keith Hall, MD

  • Surgery Physician
  • Matthews, NC
National Provider Identifier
1689665275
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2017-01535 Issued in NC
Practice address
1450 Matthews Township Pkwy Ste 250
Matthews, NC 28105-5331
Phone
(704) 841-1444
Fax
(704) 849-2520
NPI assigned
Nov 2, 2005
Last updated
Mar 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200486 LA
Surgery Physician 208600000X MD200486 LA
Surgery Physician 208600000X 2017-01535 NC Primary

Addresses

Primary practice location

1450 Matthews Township Pkwy Ste 250
Matthews, NC 28105-5331

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Other practice location 1

2001 Vail Ave Ste 320
Charlotte, NC 28207-1222
Phone (704) 364-8100

Other identifiers 1

IdentifierTypeStateIssuer
1590321MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA, NC, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20051006000708 LA Practitioner - General Surgery 6305861592 Reassigns benefits to 1 organization
I20160301002624 CA Practitioner - General Surgery 6305861592 Reassigns benefits to 1 organization
I20171107000261 NC Practitioner - General Surgery 6305861592 Reassigns benefits to 5 organizations
I20260213003222 SC Practitioner - General Surgery 6305861592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Tulane University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Prep II LLCGroup PAC ID 1052835311, shared by 2 NPIs, 47 clinicians
DHP of North Carolina PCGroup PAC ID 1153570783, 26 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 175
Rock Hill, SC 29732-1188
Phone (803) 324-5256

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8005

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue17
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
134871CAMDMarriage & Family Therapist
MD200486LAMDSurgery Physician
2017-01535NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Prep II LLC Surgery CurrentSince Jan 4, 2026 Accepting new patients
Surgical Specialists of Charlotte, P.a. Surgery CurrentSince Jul 26, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Surgery CurrentSince May 5, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince May 5, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Prep II LLC Surgery CurrentSince Apr 1, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Internal Medicine Current Accepting new patients
Carolinas Physicians Network Inc Surgery CurrentSince May 5, 2025 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Sep 1, 2017 Accepting new patients
Acadiana Wound Care and Hyperbarics CurrentSince Sep 15, 2008 Accepting new patients
Surgical Affiliates of California Surgery CurrentSince Dec 19, 2015 Accepting new patients
Novant Health Prep II LLC Surgery Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince May 5, 2025 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery PastSince Jul 2, 2023 Accepting new patients
Acadiana Surgical Clinic Inc Surgery Past Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

1307 E Highway 90
Ste D
Crowley, LA 70526
Phone (337) 783-3624

1325 Wright Ave
Ste C
Crowley, LA 70526
Phone (337) 783-3624

1325 Wright Ave
Ste G
Crowley, LA 70526
Phone (337) 788-2014

105 Yadkin St
Ste 203
Albemarle, NC 28001
Phone (704) 403-2760

101 E Wt Harris Blvd
Charlotte, NC 28262
Phone (704) 863-0640

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

8201 Healthcare Loop
Ste 202
Charlotte, NC 28215
Phone (704) 316-1120

10030 Gilead Rd
Ste 245
Huntersville, NC 28078
Phone (704) 895-9390

441 McAlister Rd
Ste 2100
Lincolnton, NC 28092
Phone (980) 212-6250

1450 Matthews Township Pkwy
Ste 250
Matthews, NC 28105
Phone (704) 841-1444

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

1700 1st Baxter Xing
Ste 102
Fort Mill, SC 29708
Phone (704) 342-1900

1721 Ebenezer Rd
Ste 175
Rock Hill, SC 29732
Phone (803) 324-5256

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nhall21541@carolinaeastmc.direct-ci.com
  • Direct secure messaging: nhall537228@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1689665275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 MATTHEWS TOWNSHIP PKWY STE 250",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055331",
            "telephone_number": "704-841-1444",
            "fax_number": "704-849-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Vail Ave Ste 320",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282071222",
            "country_code": "US",
            "telephone_number": "704-364-8100",
            "fax_number": "337-783-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "NINA",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "200486",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD200486",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2017-01535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1590321",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.