Jeff Glenn Hall, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC0000001789 Issued in TN

Practice address

3555 Keith St NW
Suite 103
Cleveland, TN 37312-4375

Phone

(423) 614-7616

Fax

(423) 614-7668

NPI assigned

Jun 9, 2006

Last updated

Nov 20, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Chattanooga Family and Sports Medical Center, PLLCGroup PAC ID 7214094564, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chattanooga Family and Sports Medical Center, PLLC

  • Nutrition Chiropractor
  • Chattanooga, TN
  • NPI 1265687917
  Medicare reassignment Care Compare group NPD
• Jeff Hall Inc

  • Nutrition Chiropractor
  • Cleveland, TN
  • NPI 1861430753
  Authorized official Same address or phone

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1932140043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 KEITH ST NW",
            "address_2": "SUITE 103",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124375",
            "telephone_number": "423-614-7616",
            "fax_number": "423-614-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 KEITH ST NW",
            "address_2": "SUITE 103",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124375",
            "telephone_number": "423-614-7616",
            "fax_number": "423-614-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JEFF",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TN",
            "license": "DC0000001789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Lynn Gruber, DC
• Catherine Gutierrez, SLP
• Layne Hagy
• Ashlee Nell Hall, LMSW
• Debra Jean Hall, SLP
• Renee Hall, APRN, PMHNP-BC
• Roger A Hall, DDS
• Abby Halpern
• Anthony Frank Hamby, R.T.
• David Charles Hamill, PHARMD

• Nutrition Chiropractor in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Nutrition Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.