Individual provider Active NPI

Patricia Hall, MD

  • Family Medicine Physician
  • Thomaston, GA
National Provider Identifier
1932404662
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33536 Issued in SC
Practice address
612 W Gordon St Ste C
Thomaston, GA 30286-3480
Phone
(706) 647-7009
Fax
(706) 647-7014
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33536 SC Primary

Addresses

Primary practice location

612 W Gordon St Ste C
Thomaston, GA 30286-3480

Mailing address

612 W Gordon St Ste C
Thomaston, GA 30286-3480
Phone (706) 647-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017000068 GA Practitioner - Family Practice 1759537640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upson Family Physicians, LCGroup PAC ID 3072659242, 9 clinicians

Practice addresses (Care Compare)

915 W Gordon St
Suite B
Thomaston, GA 30286-3427
Phone (706) 647-7009

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Columbus, GA, CCN 117306
  • Amedisys Home Health of Griffin Home health agency, Griffin, GA, CCN 117045
  • Centerwell Home Health Home health agency, Peachtree City, GA, CCN 117137
  • Upson Regional Medical Center Hospital, Thomaston, GA, CCN 110002

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
84.38
Promoting interoperability
100
Improvement activities
40
Cost
72.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33536SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upson Family Physicians, LC Family Medicine CurrentSince Aug 4, 2014 Accepting new patients
Upson County Hospital Inc Current Accepting new patients
Upson Womens Services LLC Past Accepting new patients
Upson Surgical Associates, LLC PastSince Oct 26, 2020 Accepting new patients

Locations

612 W Gordon St
Ste C
Thomaston, GA 30286
Phone (706) 646-5712

915 W Gordon St
#B
Thomaston, GA 30286
Phone (706) 647-7009

Interoperability endpoints

  • Direct secure messaging: patrcia.hall@urmc.gadirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1932404662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST STE C",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863480",
            "telephone_number": "706-647-7009",
            "fax_number": "706-647-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W GORDON ST STE C",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863480",
            "telephone_number": "706-647-7009",
            "fax_number": "706-647-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "33536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.