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ANDREA MICHELLE HALL NP
NPI 1104576271
Nurse Practitioner - Psychiatric/Mental Health in Fort Eisenhower, GA

Active since March 24, 2022PECOS Enrolled
300 E. HOSPITAL RD., FORT EISENHOWER, GA 30905(706) 787-5605 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Michelle Hall Np NPPES

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

ANDREA MICHELLE HALL NP (NPI 1104576271) is an individual psychiatric/mental health provider in Fort Eisenhower, Georgia, licensed in Georgia (RN308216) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gardena.

NPPES Registry Identity

NPI1104576271
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameANDREA MICHELLE HALLCredential: NP
Location Address300 E. HOSPITAL RD.Fort Eisenhower, GA 30905
Mailing AddressPo Box 26Grovetown, GA 30813-0026 · (216) 269-2104
Phone(706) 787-5605
Sole ProprietorYes
Enumeration DateMarch 24, 2022
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1104576271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in GA · RN308216✔ Licensed in CA · 95019371✔ Licensed in HI · APRN-5100
300 E. HOSPITAL RD., Fort Eisenhower, GA 30905
Open in Google Maps ↗

Secondary Practice Location 1

Location 11225 W 190th St Ste 280Gardena, CA 90248-4305 · Phone (877) 515-8113

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Michelle Hall Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrea Hall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
540 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia and Hawaii enrollments
  • 994 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Ehab Yacoub MD Inc.
2,074 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113
Grow Healthcare Group PC
2,245 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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

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

AMANDA NICOLE CANOVI
Student in an Organized Health Care Education/Training Program
300 E. HOSPITAL RD.
AUGUSTA, GA 30905
Richmond County (706) 787-7248

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 Andrea Hall's NPI number?

The NPI number for Andrea Hall is 1104576271. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Andrea Hall located?

Andrea Hall practices at 300 E. Hospital Rd., Fort Eisenhower, GA 30905. The listed phone number is (706) 787-5605.

What is Andrea Hall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andrea Hall enrolled in Medicare?

Yes. Andrea Hall is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Andrea Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Hall reassigns Medicare benefits to 3 organizations: Grow Healthcare Group PA (Miami, FL), Ehab Yacoub MD Inc. (Gardena, CA) and Grow Healthcare Group PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrea Hall accept?

Health plans from CareSource, Oscar Health and UnitedHealthcare list Andrea 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.

When was this NPI record last updated?

The NPPES record for Andrea Hall was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.