Organization Active NPI

George D Hall, MD

  • Adult Care Home Facility
  • Charlotte, NC
National Provider Identifier
1861425290
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
38350 Issued in NC
Legal business name
GEORGE D HALL, MD
Practice address
3111 Springbank LN
Suite I
Charlotte, NC 28226-3372
Phone
(704) 540-2799
Fax
(704) 847-6858
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
George D Hall, M.D.NPI 1518149277
Title
Medical Doctor
Phone
(704) 540-2799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 38350 NC Primary

Addresses

Primary practice location

3111 Springbank LN
Suite I
Charlotte, NC 28226-3372

Mailing address

2415 Sandy Porter Rd
Charlotte, NC 28273-3695
Phone (704) 540-2799

Other identifiers 1

IdentifierTypeStateIssuer
8938285MedicaidNC

Other names 1

  • GEORGE D HALL, MD Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
George D Hall MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1861425290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 SANDY PORTER RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733695",
            "telephone_number": "704-540-2799",
            "fax_number": "704-583-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-540-2799",
            "fax_number": "704-847-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D HALL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "704-540-2799",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "38350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8938285",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GEORGE D HALL, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.