Individual provider Active NPI

Samantha Marie Hall

  • Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1750926069
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012520 Issued in NC
Practice address
1880 Quiet CV
Fayetteville, NC 28304-3857
Phone
(910) 323-2477
Fax
(910) 323-5931
NPI assigned
Nov 11, 2019
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012520 NC Primary

Addresses

Primary practice location

1880 Quiet CV
Fayetteville, NC 28304-3857

Mailing address

PO Box 87388
Fayetteville, NC 28304-7388
Phone (910) 323-2477

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha-hall@cfcdd-net.e-mdsdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200115002933 NC Practitioner - Nurse Practitioner 8921433186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Gastroenterology PAGroup PAC ID 5890787006, 23 clinicians

Practice addresses (Care Compare)

1880 Quiet CV
Fayetteville, NC 28304-3857
Phone (910) 223-7011

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Sep 25, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Premier Gastroenterology, PA CurrentSince Jan 2, 2020 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 25, 2024 Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1880 Quiet Cv
Fayetteville, NC 28304
Phone (910) 323-2477

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJBAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1750926069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87388",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047388",
            "telephone_number": "910-323-2477",
            "fax_number": "910-323-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 QUIET CV",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043857",
            "telephone_number": "910-323-2477",
            "fax_number": "910-323-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha-hall@cfcdd-net.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "1880 Quiet Cv",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283043857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.