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DR. CLARK HALL MD
NPI 1225733462
Internal Medicine in Forsyth, GA

Active since April 04, 2023PECOS Enrolled
97 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029(478) 994-1010 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Jun 3, 2026, Aug 11, 2023 and 1 more (4 updates tracked since 2023).

About Dr. Clark Hall Md NPPES

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

DR. CLARK HALL MD (NPI 1225733462) is an individual internal medicine provider in Forsyth, Georgia, licensed in Georgia (111069) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1225733462
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CLARK HALLCredential: MD
Location Address97 MARTIN LUTHER KING JR DRForsyth, GA 31029-1648
Mailing Address97 Martin Luther King Jr DrForsyth, GA 31029-1648 · (478) 994-1010
Phone(478) 994-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 4, 2023
Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1225733462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 111069
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
97 MARTIN LUTHER KING JR DR, Forsyth, GA 31029
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Clark Hall Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587027644
PECOS Enrollment IDI20260615001040
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 Reassignment

Medicare enrollment records show Clark Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine Associates Of Middle Georgia, P.C.
Same address
Internal Medicine
97 MARTIN LUTHER KING JR DR
Forsyth, GA 31029
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1578724431 (478) 994-1010

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 31029 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
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 6

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

MRS. REBECCA JENKINS SHERWOOD CRNP
Nurse Practitioner (Family)
97 MARTIN LUTHER KING JR DR
FORSYTH, GA 31029
Monroe County (478) 957-9139
ELIZABETH GOODWIN APRN, FNP-C
Nurse Practitioner (Family)
97 MARTIN LUTHER KING JR DR
FORSYTH, GA 31029
Monroe County (478) 994-1010
INTERNAL MEDICINE ASSOCIATES OF MIDDLE GEORGIA, P.C.
Internal Medicine
97 MARTIN LUTHER KING JR DR
FORSYTH, GA 31029
Monroe County (478) 994-1010
JEREMY T GOODWIN MD
Internal Medicine
97 MARTIN LUTHER KING JR DR
FORSYTH, GA 31029
Monroe County (478) 994-1010
CRAIG CALDWELL M.D.
Internal Medicine
97 MARTIN LUTHER KING JR DR
FORSYTH, GA 31029
Monroe County (478) 994-1010
WESLEY ALEXANDER RIDLEY MD
Internal Medicine
97 MARTIN LUTHER KING JR DR
FORSYTH, GA 31029
Monroe County (478) 994-1010

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 Clark Hall's NPI number?

The NPI number for Clark Hall is 1225733462. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Clark Hall located?

Clark Hall practices at 97 Martin Luther King Jr Dr, Forsyth, GA 31029. The listed phone number is (478) 994-1010.

What is Clark Hall's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Clark Hall enrolled in Medicare?

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

Which organization bills Medicare for Clark Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Clark Hall reassigns Medicare benefits to Internal Medicine Associates Of Middle Georgia, P.C. (Forsyth, GA). The 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 Clark Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Clark Hall accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Clark 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 Clark Hall was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.