BRANDON HALL (NPI# 1053801860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053801860 |
| Entity Type | Individual |
| Full Name | BRANDON HALL |
| Credential | NP |
| Practice Address |
903 Ward St W Ste A Douglas GA 31533-3536 |
| Practice Telephone | 9122601191 |
| Mailing Telephone | 9122601191 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
227503 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 148 Gene St, Willacoochee, GA 316502261 | 9123313322 | |
| 1912 Memorial Dr Ste E, Waycross, GA 315010989 | 9122837100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427458876 | Brandon Wayne Hall | Specialist/Technologist | 102c East Area Locker Room, The Pennsylvania State University, University Park, PA 16802 | 2014-09-03 |
| 1174959894 | Brandon Michael Hall | Physical Therapist | 7819 Silverthread Ln, Raleigh, NC 27617-4716 | 2013-09-26 |
| 1548312424 | Brandon Hall | Dentist | 3951 W Parmer Ln Ste 200, Austin, TX 78727-4155 | 2007-01-18 |
| 1790791853 | Brandon Conrad Hall | Dentist | 1590 Little Raven Street, Suite 200, Denver, CO 80202 | 2006-07-31 |
| 1073552659 | Brandon D Hall | Chiropractor | 3025 N Taft Ave, Suite C, Loveland, CO 80538-8310 | 2006-06-06 |
| 1497298566 | Brandon Hall | Specialist | 1301 E Colvin St, Manley Field House, Syracuse, NY 13244-0001 | 2016-11-22 |
| 1851728851 | Brandon Hall | Registered Nurse | 200 Hillmont Ave, Ventura, CA 93003-1647 | 2013-10-04 |
| Street Address |
903 WARD ST W STE A |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013551829 | Taylor Lamar Gibson | Nurse Practitioner | 200 Doctors Dr Ste O, Douglas, GA 31533-2202 | 2019-11-05 |
| 1952879918 | Monica Nichole Roberts | Nurse Practitioner | 210 Peterson Ave S, Douglas, GA 31533-5237 | 2018-11-08 |
| 1770058539 | Carlas Paulk | Nurse Practitioner | 28 Tempa Ln, Douglas, GA 31535-4561 | 2018-10-09 |
| 1235508920 | Michelle Martinez Jones | Nurse Practitioner | 200 Doctors Dr Ste S, Douglas, GA 31533-2203 | 2015-09-23 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1063817872 | Amanda Brulte | Nurse Practitioner | 100 Doctors Dr Ste 104, Douglas, GA 31533-2211 | 2014-10-23 |
| 1720481500 | La. Donna Spikes | Nurse Practitioner | 208 Grady Ave S, Douglas, GA 31533-2312 | 2014-10-07 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1174757157 | Deborah Judith Kinder | Nurse Practitioner | 6911 N Bdi Blvd, Douglas, AZ 85607-6202 | 2009-05-06 |
| Find all providers in DOUGLAS | ||||
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| 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.