Active NPI
Jocelyn L Hall, FNP-C
- Nurse Practitioner
- Savannah, GA
National Provider Identifier
1720481674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN224186
- Practice address
- 4700 Waters Ave Ste 405
Savannah, GA 31404-6220 - Phone
- (912) 350-2700
- Fax
- (912) 350-2715
- NPI assigned
- Oct 7, 2014
- Last updated
- Jan 18, 2020
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN224186 | GA | Primary |
| Family Nurse Practitioner | 363LF0000X | RN224186 | GA |
Addresses
Primary practice location
4700 Waters Ave Ste 405
Savannah, GA 31404-6220
Mailing address
150 Scranton Connector
Brunswick, GA 31525-0540
Other practice location 1
1602 Drayton St
Savannah, GA 31401-7526
Phone (912) 644-5204
Other practice location 2
1395 Eisenhower Dr
Savannah, GA 31406
Phone (912) 356-2157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000654376D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN224186 | GA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579305600000",
"number": "1720481674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 SCRANTON CONNECTOR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315250540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 WATERS AVE STE 405",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314046220",
"telephone_number": "912-350-2700",
"fax_number": "912-350-2715"
}
],
"practiceLocations": [
{
"address_1": "1602 Drayton St",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314017526",
"country_code": "US",
"telephone_number": "912-644-5204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1395 Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "31406",
"country_code": "US",
"telephone_number": "912-356-2157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JOCELYN",
"middle_name": "L",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2020-01-18",
"certification_date": "2020-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN224186",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN224186",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000654376D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.