Hale Healthcare, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HALE HEALTHCARE, LLC

Practice address

120 N Medical Pkwy
Building 100, Suite 201
Woodstock, GA 30189-7062

Phone

(678) 744-4253

NPI assigned

Aug 2, 2016

Last updated

Aug 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lashaun Elliott, M.D.

Title

Owner

Phone

(678) 744-4253

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Blalock

  • Family Nurse Practitioner
  • Holly Springs, GA
  • NPI 1003349671
  NPD (past)
• Vesselin Stoyanov Raytchev, NP-C

  • Family Nurse Practitioner
  • Stockbridge, GA
  • NPI 1689926651
  NPD (past)

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470528000000",
    "number": "1760935118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MEDICAL PKWY",
            "address_2": "BUILDING 100, SUITE 201",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897062",
            "telephone_number": "678-744-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MEDICAL PKWY",
            "address_2": "BUILDING 100, SUITE 201",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301897062",
            "telephone_number": "678-744-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-07",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "LASHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-744-4253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Semper Habib
• Taylor Haddock
• Mary Beth Haile, CPS-MH/P, CHW
• Yohannes Haile, PHARMD
• David Haithcock, D.M.D.
• Elliott Marie Hale, D.C.
• James Patrick Haley, M.D.
• Jared Michael Haley, CSA
• Brenda Norton Hall, LPC
• Samuel Ross Hall, P.T.

• Primary Care Clinic/Center in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2016; 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.