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DR. EDWARD L HALL MD
NPI 1053390153
Surgery in Thomasville, GA

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
100 MIMOSA DRIVE, THOMASVILLE, GA 31792(229) 226-8881(229) 225-2165 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Edward L Hall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD L HALL MD (NPI 1053390153) is an individual surgery provider in Thomasville, Georgia, licensed in Georgia (020724) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Archbold Memorial, and is a graduate of Medical College Of Georgia School Of Medicine (1978).

NPPES Registry Identity

NPI1053390153
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. EDWARD L HALLCredential: MD
Location Address100 MIMOSA DRIVEThomasville, GA 31792
Mailing Address100 Mimosa DriveThomasville, GA 31792 · (229) 226-8881 · Fax (229) 225-2165
Phone(229) 226-8881
Fax(229) 225-2165
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1978
Enumeration DateJanuary 17, 2006
Last NPPES UpdateSeptember 17, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1053390153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 020724
Definition
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.
Also ListedSpecialistTaxonomy 174400000X · License 020724 (GA)
100 MIMOSA DRIVE, Thomasville, GA 31792
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Other Identifiers 5

Other000264129BGA · Peach State
Other207430GA · Wellcare
Other110153551GA · Railroad Medicare
Medicaid000264129BGA
Medicaid000264129IGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edward L Hall Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688689235
PECOS Enrollment IDI20060217000533
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
22 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GEOFFREY S DEUTSCH MD
Surgery
100 MIMOSA DRIVE
THOMASVILLE, GA 31792
Thomas County (229) 226-8881
MS. KIMBERLY HARRIS NIX PA-C
Physician Assistant
100 MIMOSA DRIVE, SUITE 1R
THOMASVILLE, GA 31792
Thomas County (229) 226-9141
DR. ALAN S WALLER MD
Surgery
100 MIMOSA DRIVE
THOMASVILLE, GA 31792
Thomas County (229) 226-8881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Hall's NPI number?

The NPI number for Edward Hall is 1053390153. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Edward Hall located?

Edward Hall practices at 100 Mimosa Drive, Thomasville, GA 31792. The listed phone number is (229) 226-8881.

What is Edward Hall's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Edward Hall enrolled in Medicare?

Yes. Edward Hall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edward Hall accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Edward Hall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Edward Hall affiliated with any hospitals?

According to CMS data, Edward Hall is affiliated with Archbold Memorial.

When was this NPI record last updated?

The NPPES record for Edward Hall was last updated on September 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.