MAUVERINE JO HALL M.D.
NPI 1609854124
Family Medicine - Adult Medicine in Raleigh, NC

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

Active since January 04, 2006

3010 FALSTAFF RD, RALEIGH, NC 27610(919) 212-9230 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Aug 16, 2017, Feb 3, 2016 (3 updates tracked since 2016).

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About Mauverine Jo Hall M.d. NPPES

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

MAUVERINE JO HALL M.D. (NPI 1609854124) is an individual adult medicine provider in Raleigh, North Carolina, licensed in North Carolina (94-00819) and active in the NPI registry since January 2006. She maintains a secondary practice location in Urbana.

NPPES Registry Identity

NPI1609854124

Entity TypeIndividualFemale

Primary Taxonomy207QA0505X

Provider Legal NameMAUVERINE JO HALLCredential: M.D.

Location Address3010 FALSTAFF RDRaleigh, NC 27610-1813

Mailing Address284 Balmoral StreetClayton, NC 27520-4044

Phone(919) 212-9230

Sole ProprietorNo

Enumeration DateJanuary 4, 2006

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1609854124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in NC · 94-00819

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036139295 (IL), 24786 (KY)

3010 FALSTAFF RD, Raleigh, NC 27610

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Secondary Practice Location 1

Location 11818 E. Windsor Rd.Urbana, IL 61802-9566 · Phone (217) 255-9670 · Fax (217) 255-9724

Other Identifiers 1

Medicaid89-38385NC

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

MRS. ELLEN BETTS CLEMMER LCSW

Social Worker (Clinical)