Clifford Hall, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

50887 Issued in VA

Practice address

1742 Cheryl St
Clarksdale, MS 38614-7218

Phone

(662) 627-7267

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Region VI Community Mental Health Commission

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwood, MS
  • NPI 1154433233
  NPD (past)
• Richard H. Morse, MD a Prof. Med. Corp.

  • Interventional Pain Medicine Physician
  • New Orleans, LA
  • NPI 1922262112
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1700805041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 WHISPERING VALLEY CV",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557701",
            "telephone_number": "662-259-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 CHERYL ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147218",
            "telephone_number": "662-627-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CLIFFORD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "50887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghann E Gulledge Yee, M.ED.
• Cody Renaldo Gullick, FNP-C
• Mohamad F Hadidi, M.D.
• Undra L Haggan, NURSE PRACTITIONER
• Haggard Drug Store Inc.
• Alvin Ray Hamilton Jr., CRNA
• Lakedra T Hampton, MSW
• Africa Joanalene Harris-Johnson, DPT
• Catherine Harris, MSW
• Ieesha Harris, MSW

• Psychiatry Physician in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.