Individual provider Active NPI

Kevin Michael Hall, PA-AA

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1689837775
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5874 Issued in GA
Practice address
35 Collier Rd NW Ste 775
Atlanta, GA 30309-1608
Phone
(404) 605-7100
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5874 GA Primary
Anesthesiology Physician 207L00000X 5874 GA
Anesthesiologist Assistant 367H00000X 2020020930 MO
Anesthesiologist Assistant 367H00000X 5874 GA
Physician Assistant 363A00000X PA10004213 WA

Addresses

Primary practice location

35 Collier Rd NW Ste 775
Atlanta, GA 30309-1608

Mailing address

1599 Eastland Rd SE
Atlanta, GA 30316-3410

Other practice location 1

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (636) 386-9224

Other practice location 2

1364 Clifton Road NE
Emory University Hospital Department of Anesthesiology
Atlanta, GA 30322
Phone (404) 778-5778

Other practice location 3

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-3679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101014000562 GA Practitioner - Anesthesiology Assistant 4789668096 Reassigns benefits to 6 organizations
I20110214000424 GA Practitioner - Physician Assistant 4789668096 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Anesthesia LLCGroup PAC ID 2163837972, 555 clinicians
Cogent Healthcare of Georgia PCGroup PAC ID 2961483607, 252 clinicians
Grady Memorial Hospital CorporationGroup PAC ID 7517032998, 365 clinicians

Practice addresses (Care Compare)

1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131

1170 Cleveland Ave
East Point, GA 30344-3615
Phone (404) 466-1170

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 351-1745

350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 721-0200

80 Gilmer St SE
Atlanta, GA 30303-3017
Phone (404) 616-1000

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Grady Memorial Hospital Hospital, Atlanta, GA, CCN 110079

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
005874GAMDPhysical Therapist
2020020930MOMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Jul 25, 2023 Accepting new patients
Piedmont Anesthesia Associates, L.L.C Anesthesiology CurrentSince Feb 17, 2020 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 1, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Jul 25, 2023 Accepting new patients
Physician Specialists in Anesthesia, P.C. Anesthesiology CurrentSince May 7, 2019 Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients
Shawnee Mission Medical Center, Inc. Past Accepting new patients
Shawnee Mission Medical Center Inc Medical Past Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

35 Collier Rd NW
Ste 775
Atlanta, GA 30309
Phone (404) 350-1122

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

5665 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (678) 843-7001

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

5671 Ptree Dunwoody Rd NE
Ste 800
Sandy Springs, GA 30342
Phone (404) 257-1415

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1689837775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 EASTLAND RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163410",
            "fax_number": "816-932-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW STE 775",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091608",
            "telephone_number": "404-605-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 S New Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418221",
            "country_code": "US",
            "telephone_number": "636-386-9224",
            "fax_number": "636-200-4243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1364 Clifton Road NE",
            "address_2": "Emory University Hospital Department of Anesthesiology",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30322",
            "country_code": "US",
            "telephone_number": "404-778-5778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Wornall Rd",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641113220",
            "country_code": "US",
            "telephone_number": "816-932-3679",
            "fax_number": "816-932-9089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "PA-AA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "5874",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "5874",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "MO",
            "license": "2020020930",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "5874",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.