MRS. CECELIA FOGLE HALL NPI 1912487422

NPI Information

NPI: 1912487422
Provider Name: MRS. CECELIA FOGLE HALL
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

PECOS Registration: Yes

Address:
1333 TAYLOR ST STE 5F
COLUMBIA, SC
ZIP 29201
Phone: (803) 434-4790
Get Directions

MRS. Cecelia Fogle Hall is a gerontology nurse practitioner in Columbia, SC with 7 years of experience. MRS. Cecelia Fogle Hall NPI is 1912487422. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1333 TAYLOR ST STE 5F
COLUMBIA, SC
ZIP 29201-951
Phone: (803) 434-4790
Fax: (803) 434-4799

The NPI 1912487422 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 3/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		21544	SOUTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	21544	SOUTH CAROLINA	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	21544	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NP5510	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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