TEKETA HALL
NPI 1649777301
Nurse Practitioner - Family in Perry, GA
About Teketa Hall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEKETA HALL (NPI 1649777301) is an individual family provider in Perry, Georgia, licensed in Florida (9482323) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Teketa Hall is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Teketa Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alpharetta, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- 240 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31069 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Teketa Hall's NPI number?
The NPI number for Teketa Hall is 1649777301. It was assigned to this individual provider in the NPPES registry on April 10, 2018.
Where is Teketa Hall located?
Teketa Hall practices at 1115 Morningside Dr, Perry, GA 31069. The listed phone number is (478) 988-3060.
What is Teketa Hall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Teketa Hall enrolled in Medicare?
Yes. Teketa Hall is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Teketa Hall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teketa Hall reassigns Medicare benefits to Southeast Medical Group, P.C. (Alpharetta, 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 Teketa Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Teketa Hall accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Teketa 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 Teketa Hall was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Teketa Hall · NPI 1649777301
Family physician in Perry, Georgia. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1649777301 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9482323 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1115 MORNINGSIDE DR, Perry, GA 31069-2905
- **Phone:** (478) 988-3060
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeast Medical Group, P.C. (NPI 1235296054, Alpharetta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1649777301) · Data from the CMS NPPES public registry.