DR. JUSTIN GLENN HALE DO
NPI 1730748740
Surgery in Fort Gordon, GA

Active since June 12, 2019PECOS Enrolled
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905(706) 787-4657 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Jan 8, 2021, Jun 12, 2019 (3 updates tracked since 2019).

About Dr. Justin Glenn Hale Do NPPES

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

DR. JUSTIN GLENN HALE DO (NPI 1730748740) is an individual surgery provider in Fort Gordon, Georgia, licensed in Georgia (87608) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730748740
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JUSTIN GLENN HALECredential: DO
Location Address300 EAST HOSPITAL ROADFort Gordon, GA 30905
Mailing Address300 East Hospital RoadFort Gordon, GA 30905
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 12, 2019
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
NPI 1730748740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in GA · 87608
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.
300 EAST HOSPITAL ROAD, Fort Gordon, GA 30905

Other Identifiers 1

Other87608GA · Medical License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Justin Glenn Hale Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961972484
PECOS Enrollment IDI20260526003788
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30905 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 20

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

Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT EISENHOWER, GA 30905
Psychologist (Clinical)
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Family Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Internal Medicine
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905
Student in an Organized Health Care Education/Training Program
300 EAST HOSPITAL ROAD
FORT GORDON, GA 30905

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 Justin Hale's NPI number?

The NPI number for Justin Hale is 1730748740. It was assigned to this individual provider in the NPPES registry on June 12, 2019.

Where is Justin Hale located?

Justin Hale practices at 300 East Hospital Road, Fort Gordon, GA 30905. The listed phone number is (706) 787-4657.

What is Justin Hale's specialty?

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

Is Justin Hale enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Hale was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.