| Gregory L Hall, MD | |
|
804 N Wiley Ave, Donalsonville, GA 39845-1120 | |
| (229) 524-2808 | |
| (229) 524-1272 |
| Full Name | Gregory L Hall |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 804 N Wiley Ave, Donalsonville, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295815215 | NPI | - | NPPES |
| 000956117B | Medicaid | GA | |
| 051586 | Other | GA | GA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 051586 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Bainbridge, GA | Home health agency |
| Integrity Hospice | Eastman, GA | Hospice |
| Donalsonville Hospital Inc | Donalsonville, GA | Hospital |
| Memorial Hospital And Manor | Bainbridge, GA | Hospital |
| Southeast Alabama Medical Center | Dothan, AL | Hospital |
| Seminole Manor Nursing Home | Donalsonville, GA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Georgia Healthcare Clinics, Inc. | 9739457896 | 7 |
| Entity Name | The Wiregrass Medical & Surgical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083753404 PECOS PAC ID: 8123123387 Enrollment ID: O20070417000179 |
| Entity Name | Southwest Georgia Healthcare Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881867000 PECOS PAC ID: 9739457896 Enrollment ID: O20170613002024 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L Hall, MD 804 N Wiley Ave, Donalsonville, GA 39845-1120 Ph: (229) 524-2808 | Gregory L Hall, MD 804 N Wiley Ave, Donalsonville, GA 39845-1120 Ph: (229) 524-2808 |
Homer Elmer Breckenridge Iii, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 804 N Wiley Ave, Donalsonville, GA 39845 Phone: 229-524-2808 Fax: 229-524-1272 | |
Jeffrey Neal Holley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 214 Cherry St, Donalsonville, GA 39845 Phone: 229-524-2232 Fax: 229-524-8766 |