Jennifer E Hall, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN011864 Issued in GA

Practice address

4815 Paulsen St
Savannah, GA 31405-4418

Phone

(912) 352-2324

Fax

(912) 354-0935

NPI assigned

Feb 7, 2007

Last updated

Mar 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 15, 2016 through Nov 15, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Golden Isles Oral Surgery, L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Brunswick, GA
  • NPI 1205186863
  NPD (past) Authorized official
• Jackson P. Morgan, III, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Savannah, GA
  • NPI 1235361908
  NPD (past)
• Southeastern Oral and Maxillofacial Surgical Associates P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Savannah, GA
  • NPI 1801920301
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1972643476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054418",
            "telephone_number": "912-352-2324",
            "fax_number": "912-354-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054418",
            "telephone_number": "912-352-2324",
            "fax_number": "912-354-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "DN011864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "667957245A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAD",
            "identifier": "Z61864",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL MEDICAID",
            "identifier": "9184379",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Grace Robinson Hall, CAA
• Beth M Hall, PHARM.D.
• Claire Hall
• Hollie Amanda Hall
• Jazzma Hall
• Jocelyn L Hall, FNP-C
• Johanna Hall, M.D.
• Malaysha Deasha Hall
• Michael Anthony Hall, MD
• R Alan Hall, MD

• Oral and Maxillofacial Surgery (Dentist) in Savannah, GA
• Providers in Savannah, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.