JEFFREY HALE RD
NPI 1467821025
Dietitian, Registered in Columbia, SC

Active since September 24, 2015
2005 N BELTLINE BLVD, COLUMBIA, SC 29204(803) 782-4440 Get Directions Write a Review

NPPES record last updated: September 24, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey Hale Rd NPPES

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

JEFFREY HALE RD (NPI 1467821025) is an individual dietitian, registered in Columbia, South Carolina and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1467821025
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameJEFFREY HALECredential: RD
Location Address2005 N BELTLINE BLVDColumbia, SC 29204-3972
Mailing Address1310 Oakcrest Dr Apt 822Columbia, SC 29223-1731 · (763) 221-9356
Sole ProprietorNo
Enumeration DateSeptember 24, 2015
✔ NPI 1467821025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2005 N BELTLINE BLVD, Columbia, SC 29204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffrey Hale Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
25 E CLARK ST
Pinewood, SC 29125
  • Reassigned Medicare billing, South Carolina enrollment
  • 45 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES

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

Physical Therapist
2005 N BELTLINE BLVD
COLUMBIA, SC 29204

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 Jeffrey Hale's NPI number?

The NPI number for Jeffrey Hale is 1467821025. It was assigned to this individual provider in the NPPES registry on September 24, 2015.

Where is Jeffrey Hale located?

Jeffrey Hale practices at 2005 N Beltline Blvd, Columbia, SC 29204. The listed phone number is (803) 782-4440.

What is Jeffrey Hale's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Jeffrey Hale enrolled in Medicare?

Yes. Jeffrey Hale is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Hale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Hale reassigns Medicare benefits to Tandem Health Sc (Pinewood, SC). 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 Jeffrey Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Hale was last updated on September 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.