Active NPI
Thomas L Hall Jr., MSN, FNP-C
- Family Nurse Practitioner
- Attica, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704300502
- Practice address
- 4464 Williams St
Attica, MI 48412-7700 - Phone
- (810) 656-9996
- NPI assigned
- Sep 27, 2023
- Last updated
- Feb 25, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704300502 | MI | |
| Family Nurse Practitioner | 363LF0000X | 4704300502 | MI | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4704300502 | MI | |
| Family Medicine Physician | 207Q00000X | 4704300502 | MI |
Addresses
Primary practice location
4464 Williams St
Attica, MI 48412-7700
Mailing address
4464 Williams St
Attica, MI 48412-7700
Phone (810) 656-9996
Other practice location 1
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704300502 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Hospital Group | Current | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
5701 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-3376
2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba McLaren HealthCare Corporation
- General Acute Care Hospital
- Lapeer, MI
- NPI 1205824737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1750160727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 WILLIAMS ST",
"city": "ATTICA",
"state": "MI",
"postal_code": "484127700",
"telephone_number": "810-656-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4464 WILLIAMS ST",
"city": "ATTICA",
"state": "MI",
"postal_code": "484127700",
"telephone_number": "810-656-9996"
}
],
"practiceLocations": [
{
"address_1": "1900 Columbus Ave",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "487086831",
"country_code": "US",
"telephone_number": "989-894-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "THOMAS",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-27",
"last_updated": "2025-02-25",
"certification_date": "2025-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704300502",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704300502",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4704300502",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4704300502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Attica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.