Active NPI
Jason Durwood Hall, D.C.
- Chiropractor
- Pensacola, FL
National Provider Identifier
1811964711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH8747
- Practice address
- 8333 N Davis Hwy
Pensacola, FL 32514-6050 - Phone
- (850) 474-8080
- Fax
- (850) 474-8082
- NPI assigned
- Mar 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH8747 | FL | Primary |
Addresses
Primary practice location
8333 N Davis Hwy
Pensacola, FL 32514-6050
Mailing address
8333 N Davis Hwy
Pensacola, FL 32514-6050
Phone (850) 474-8100
Other practice location 1
698 Brent Ln
Pensacola, FL 32503-2104
Phone (850) 476-7072
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89418 | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
| 89418 | Other | FL | FLORIDA BLUE |
| 381803900 | Medicaid | FL | |
| 592-03782 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH8747 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic PA | Past | Accepting new patients | |
| Gulf Breeze Chiropractic PA D/B/a Hall Chiropractic & Sports Medicine | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Gulf Breeze, FL
- NPI 1740301613
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1811964711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8100",
"fax_number": "850-474-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146050",
"telephone_number": "850-474-8080",
"fax_number": "850-474-8082"
}
],
"practiceLocations": [
{
"address_1": "698 Brent Ln",
"address_purpose": "LOCATION",
"city": "Pensacola",
"state": "FL",
"postal_code": "325032104",
"country_code": "US",
"telephone_number": "850-476-7072",
"fax_number": "850-484-8801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "JASON",
"middle_name": "DURWOOD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH8747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "89418",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "89418",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "381803900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "592-03782",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.