Active NPI
George D Hall, MD
- Adult Care Home Facility
- Charlotte, NC
National Provider Identifier
1861425290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 38350
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George D Hall, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8938285 | Medicaid | NC |
Other names 1
- GEORGE D HALL, MD
National Provider Directory
National Provider Directory- Tax ID family
- George D Hall MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1770913378
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Concord, NC
- NPI 1518149277
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.