Active NPI
Zaida Hall
- Sports Medicine (Emergency Medicine) Physician
- Milledgeville, GA
National Provider Identifier
1902437288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- AT003769
- Practice address
- 231 W Hancock St
Milledgeville, GA 31061-3371 - Phone
- (704) 965-1519
- NPI assigned
- Jan 27, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | AT003769 | GA | Primary |
Addresses
Primary practice location
231 W Hancock St
Milledgeville, GA 31061-3371
Mailing address
451 N Columbia St Apt 1105
Milledgeville, GA 31061-1803
Phone (704) 965-1519
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT003769 | GA | MD | Sports Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1902437288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 N COLUMBIA ST APT 1105",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310611803",
"telephone_number": "704-965-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 W HANCOCK ST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310613371",
"telephone_number": "704-965-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ZAIDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-27",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "GA",
"license": "AT003769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.