DR. EDWARD L HALL (NPI# 1053390153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053390153 |
| Entity Type | Individual |
| Full Name | DR. EDWARD L HALL |
| Credential | MD |
| Practice Address |
100 Mimosa Drive Thomasville GA 31792 |
| Practice Telephone | 2292268881 |
| Practice Fax Number | 2292252165 |
| Mailing Telephone | 2292268881 |
| Mailing Fax Number | 2292252165 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 020724 | GA | Other Service Providers |
| Y | 208600000X | Surgery | 020724 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PEACH STATE | 000264129B | 01 |
| GA | WELLCARE | 207430 | 01 |
| GA | RAILROAD MEDICARE | 110153551 | 01 |
| GA | 000264129B | 05 | |
| GA | 000264129I | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740393024 | Edward George Hall | Psychiatry & Neurology | 29 Ravenna Dr, Pomona, NY 10970-3607 | 2006-08-17 |
| 1922029503 | Edward Faron Hall | Ophthalmology | 160 Sawgrass Dr Ste 200, Rochester, NY 14620-4648 | 2006-07-21 |
| 1922072446 | Edward Jason Hall | Family Medicine | 1014 E Washington, Greenville, MI 48838 | 2006-02-13 |
| 1558788224 | Edward Hall | Pharmacist | 14111 N Prasada Gateway Ave, Surprise, AZ 85388-2201 | 2014-03-19 |
| 1528196573 | Edward Anthony Hall | Physician Assistant | 800 Cordova St, Anchorage, AK 99501-3717 | 2007-03-01 |
| 1013003565 | Edward E. Hall | Psychologist | 418 Alhambra Blvd, Sacramento, CA 95816-3362 | 2006-10-04 |
| 1083622674 | Edward Brooks Hall | Family Medicine | 294 Daniel Webster Hwy, Merrimack, NH 03054-4474 | 2006-08-03 |
| 1104819978 | Edward C Hall | Specialist | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2005-08-26 |
| Street Address |
100 MIMOSA DRIVE |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962481226 | Alan S Waller | Specialist | 100 Mimosa Drive, Thomasville, GA 31792 | 2006-01-13 |
| 1790094753 | Owen Robert Kieran | Surgery | 100 Mimosa Drive, 3rd Floor, Thomasville, GA 31792 | 2010-09-24 |
| 1801014006 | Kimberly Harris Nix | Physician Assistant | 100 Mimosa Drive, Suite 1r, Thomasville, GA 31792-6678 | 2007-04-23 |
| 1548240674 | James E Smith | Specialist | 100 Mimosa Drive, Thomasville, GA 31792 | 2006-01-17 |
| 1245219534 | Gregory K Patterson | Specialist | 100 Mimosa Drive, Thomasville, GA 31792 | 2006-01-13 |
| 1407835705 | Geoffrey S Deutsch | Specialist | 100 Mimosa Drive, Thomasville, GA 31792 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710283098 | James Llewellyn Story Jr. | Surgery | 262 Saddlebrook Plantation, Thomasville, GA 31757-1762 | 2011-02-02 |
| 1558469981 | Albert I Richardson II | Surgery | 1019 E Jackson St, Thomasville, GA 31792-4789 | 2006-09-20 |
| 1861483844 | Claudiu Adrian Cimpean | Surgery | 1219 Lexington Ave, Suite A, Thomasville, NC 27360-3494 | 2005-10-31 |
| 1487649448 | Gary R Kania | Surgery | 33650 Highway 43, Suite100, Thomasville, AL 36784-3305 | 2005-09-15 |
| 1649530676 | Joey Allen Jarrard | Surgery | 100 Mimosa Dr Fl 3, Thomasville, GA 31792 | 2012-05-24 |
| 1598057655 | Archbold Medical Group | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-05-09 |
| 1760771356 | Mary Kathryn Hanisee | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-04-04 |
| 1376832261 | Cianna Pender | Surgery | 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2011-03-31 |
| 1790094753 | Owen Robert Kieran | Surgery | 100 Mimosa Drive, 3rd Floor, Thomasville, GA 31792 | 2010-09-24 |
| 1346557717 | Archbold Medical Group | Surgery | 900 Cairo Rd, Thomasville, GA 31792-4255 | 2010-09-08 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
Please comment or provide details below to improve the information on DR. EDWARD L HALL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.