1. Home
  2. Directory
  3. Georgia
  4. Duluth
  5. Surgery
  6. NPI Profile

MICHEAL A HALL M.D.
NPI 1487895488
Surgery in Duluth, GA

Active since March 20, 2009PECOS EnrolledAccepts Medicare Assignment
3855 PLEASANT HILL RD STE 470, DULUTH, GA 30096(678) 312-7280(678) 312-7299 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2021, Nov 6, 2017 (2 updates tracked since 2017).

About Micheal A Hall M.d. NPPES

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

MICHEAL A HALL M.D. (NPI 1487895488) is an individual surgery provider in Duluth, Georgia, licensed in Georgia (88185) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2009).

NPPES Registry Identity

NPI1487895488
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMICHEAL A HALLCredential: M.D.
Location Address3855 PLEASANT HILL RD STE 470Duluth, GA 30096-1417
Mailing Address3855 Pleasant Hill Rd Ste 470Duluth, GA 30096-1417 · (678) 312-7280 · Fax (678) 312-7299
Phone(678) 312-7280
Fax(678) 312-7299
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2009
Enumeration DateMarch 20, 2009
Last NPPES UpdateMay 8, 20212 updates tracked since enumeration
NPPES CertifiedMay 8, 2021
✔ NPI 1487895488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in GA · 88185✔ Licensed in AL · 36432
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.
3855 PLEASANT HILL RD STE 470, Duluth, GA 30096
Open in Google Maps ↗

Other Identifiers 1

Medicaid1968463LA

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

Micheal A Hall M.d. 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 ID9739349374
PECOS Enrollment IDI20210816002766
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services20 patients
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.
28 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 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.
15 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

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

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.

GLENN M HALL JR. MD
Surgery
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (678) 312-7280
DEBRA HWANG MD
Surgery
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (770) 513-2155
DR. MATHEW WILLIAM POMBO M.D.
Orthopaedic Surgery (Sports Medicine)
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (770) 813-8888
TILLMAN BLAKE HARDIGREE CST
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (770) 813-8888
NICHOLAS RIN YU M.D.
Surgery
3855 PLEASANT HILL RD STE 470
DULUTH, GA 30096
Gwinnett County (678) 312-7280

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 Micheal Hall's NPI number?

The NPI number for Micheal Hall is 1487895488. It was assigned to this individual provider in the NPPES registry on March 20, 2009.

Where is Micheal Hall located?

Micheal Hall practices at 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096. The listed phone number is (678) 312-7280.

What is Micheal Hall's specialty?

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

Is Micheal Hall enrolled in Medicare?

Yes. Micheal 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 Micheal Hall accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Micheal 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 Micheal Hall affiliated with any hospitals?

According to CMS data, Micheal Hall is affiliated with Northside Hospital Forsyth, Northside Hospital Gwinnett, Northside Hospital and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Micheal Hall was last updated on May 8, 2021. 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.