GLENN M HALL JR. MD
NPI 1104072230
Surgery in Duluth, GA

Q: What is Glenn Hall's NPI number?

The NPI number for Glenn Hall is 1104072230. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Q: What is Glenn Hall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Glenn Hall was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since August 08, 2008PECOS EnrolledAccepts Medicare Assignment

3855 PLEASANT HILL RD STE 470, DULUTH, GA 30096(678) 312-7280 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Jul 8, 2024, Aug 10, 2021 and 6 more (9 updates tracked since 2015).

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About Glenn M Hall Jr. Md NPPES

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

GLENN M HALL JR. MD (NPI 1104072230) is an individual surgery provider in Duluth, Georgia, licensed in Georgia (98864) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Duluth, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104072230

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameGLENN M HALL JR.Credential: MD

Location Address3855 PLEASANT HILL RD STE 470Duluth, GA 30096-1417

Mailing Address3855 Pleasant Hill Rd Ste 470Duluth, GA 30096-1417 · (678) 312-7280

Phone(678) 312-7280

Sole ProprietorNo

Medical School CMSMeharry Medical College School Of MedicineGraduated 2008

Enumeration DateAugust 8, 2008

Last NPPES UpdateOctober 29, 20259 updates tracked since enumeration

NPPES CertifiedOctober 29, 2025

✔ NPI 1104072230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in GA · 98864✔ Licensed in NH · 20807✔ Licensed in OH · 35.127088

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 ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 20807 (NH)

3855 PLEASANT HILL RD STE 470, Duluth, GA 30096

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Secondary Practice Locations 2

Location 11380 NW Washington BlvdHamilton, OH 45013-1208 · Phone (513) 737-3690

Location 23073 White Mountain HwyNorth Conway, NH 03860-7101 · Phone (603) 356-4835 · Fax (603) 356-2604

Other Identifiers 1

Medicaid3124445NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Glenn M Hall Jr. 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 ID2264740802

PECOS Enrollment IDI20190926001504, I20201020002158, I20240426000206

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.

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110252

Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County

Emergency services Birthing friendly

Memorial Hospital, The

Critical Access Hospitals · North Conway, NH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number301307

Location3073 White Mountain HighwayNorth Conway, NH 03860 · Carroll County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30096 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 5

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

DEBRA HWANG MD

Surgery