HALLMEDICAL CLINIC LLC
NPI 1952065328
Family Medicine in Waynesboro, TN

Active since October 22, 2021CLIA 44D1013683 · Waiver
107 JV MANGUBAT DR, WAYNESBORO, TN 38485(931) 722-2800(931) 722-9627 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Hallmedical Clinic Llc NPPES

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

HALLMEDICAL CLINIC LLC (NPI 1952065328) is a healthcare organization registered as a family medicine in Waynesboro, Tennessee and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Valerie A Hall-glass, Owner, as its authorized official.

NPPES Registry Identity

NPI1952065328
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHALLMEDICAL CLINIC LLC
Location Address107 JV MANGUBAT DRWaynesboro, TN 38485-2440
Mailing AddressPo Box 689Waynesboro, TN 38485-0689 · (931) 722-2800 · Fax (931) 722-9627
Fax(931) 722-9627
Organization SubpartNo
Authorized OfficialValerie A Hall-glassOwner · (931) 722-2800
Enumeration DateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
✔ NPI 1952065328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
107 JV MANGUBAT DR, Waynesboro, TN 38485

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D1013683

Hall Medical Clinic LLC · Waynesboro, TN
Active · expires Jun 12, 2027
CLIA Number44D1013683
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorValerie A. Hall-Glass
Laboratory Phone(931) 722-2800
Laboratory LocationHall Medical Clinic LLC107 Jv Mangubat Drive, Waynesboro, TN 38485
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Pharmacist
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Nurse Practitioner
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Pharmacy (Community/Retail Pharmacy)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Nurse Practitioner (Family)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Nurse Practitioner (Family)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485
Nurse Practitioner (Family)
107 JV MANGUBAT DR
WAYNESBORO, TN 38485

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 Hallmedical Clinic LLC's NPI number?

The NPI number for Hallmedical Clinic LLC is 1952065328. It was assigned to this organization in the NPPES registry on October 22, 2021.

Where is Hallmedical Clinic LLC located?

Hallmedical Clinic LLC is located at 107 Jv Mangubat Dr, Waynesboro, TN 38485. The listed phone number is (931) 722-2800.

What is Hallmedical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hallmedical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1013683) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hallmedical Clinic LLC was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.