Henry Grady Hall, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10327 Issued in GA

Practice address

101 E McIntosh St
Milledgeville, GA 31061-3425

Phone

(478) 452-4415

Fax

(478) 453-8378

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1740340900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MCINTOSH ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613425",
            "telephone_number": "478-452-4415",
            "fax_number": "478-453-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MCINTOSH ST",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310613425",
            "telephone_number": "478-452-4415",
            "fax_number": "478-453-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "HENRY",
        "middle_name": "GRADY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E. Griffin III, D.P.T., PT
• Kimberly Lynn Griffin, FNP-C
• Kelly R Grimes, PT
• Emmett Lee Griswold
• H & M Drugs
• Zaida Hall
• Hanger Prosthetics & Orthotics Inc
• Leanna Elise Harbor, MD
• Shonda Denise Harden
• Brittney Marie Hardin, ATC, LAT

• General Practice Dentistry in Milledgeville, GA
• Providers in Milledgeville, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.