Organization Active NPI

Hugh W. Hall, M.D., L.L.C.

  • Internal Medicine Physician
  • Evans, GA
National Provider Identifier
1730310491
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040088 Issued in GA
Legal business name
HUGH W. HALL, M.D., L.L.C.
Practice address
515 McKinnes Park
Evans, GA 30809-4085
Phone
(706) 364-6490
Fax
(706) 364-0340
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Dr. Hugh W. Hall, M.D.
Title
Director
Phone
(706) 364-6490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 040088 GA Primary

Addresses

Primary practice location

515 McKinnes Park
Evans, GA 30809-4085

Mailing address

515 McKinnes Park
Evans, GA 30809-4085
Phone (706) 364-6490

Other identifiers 1

IdentifierTypeStateIssuer
00664969CMedicaidGA

Other names 1

  • Covenant Long Term Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1730310491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MCKINNES PARK",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094085",
            "telephone_number": "706-364-6490",
            "fax_number": "706-364-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MCKINNES PARK",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094085",
            "telephone_number": "706-364-6490",
            "fax_number": "706-364-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUGH W. HALL, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-364-6490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "040088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00664969C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.