Individual provider Active NPI

Andrea Elizabeth Hall, RN

  • Home Health Registered Nurse
  • Sandy Springs, GA
National Provider Identifier
1932973286
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN244718 Issued in GA
Practice address
4600 Roswell Rd BLDG H120
Sandy Springs, GA 30342-3006
Phone
(678) 790-7431
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN244718 GA Primary

Addresses

Primary practice location

4600 Roswell Rd BLDG H120
Sandy Springs, GA 30342-3006

Mailing address

6065 Roswell Rd Ste 450
Sandy Springs, GA 30328-4011
Phone (800) 722-1975

Other names 1

  • Andrea Elizabeth Jenkins Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN244718GAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Goldwings Healthcare LLC CurrentSince Dec 10, 2023 Accepting new patients

Locations

6065 Roswell Rd
Ste 450
Sandy Springs, GA 30328
Phone (404) 994-6226

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1932973286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 450",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284011",
            "telephone_number": "800-722-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ROSWELL RD BLDG H120",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303423006",
            "telephone_number": "678-790-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN244718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "JENKINS",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.