MARIA MERCEDES HALL FNP-C
NPI 1972105179
Nurse Practitioner - Family in Duluth, GA
About Maria Mercedes Hall Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIA MERCEDES HALL FNP-C (NPI 1972105179) is an individual family provider in Duluth, Georgia, licensed in Georgia (APRN-NP219246) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maria Mercedes Hall Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Maria Hall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 170 clinicians in this Medicare group
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 161 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.
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.
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DULUTH, GA 30096
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 Maria Hall's NPI number?
The NPI number for Maria Hall is 1972105179. It was assigned to this individual provider in the NPPES registry on November 12, 2020.
Where is Maria Hall located?
Maria Hall practices at 3215 Mcclure Bridge Rd, Duluth, GA 30096. The listed phone number is (678) 312-6200.
What is Maria Hall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Maria Hall enrolled in Medicare?
Yes. Maria 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.
Which organizations bill Medicare for Maria Hall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maria Hall reassigns Medicare benefits to 2 organizations: The Longstreet Clinic, PC (Gainesville, GA) and Northeast Georgia Community Physicians LLC (Gainesville, GA). Each 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 Maria Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maria Hall accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Maria 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 Maria Hall was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Maria Mercedes Hall, FNP-C · NPI 1972105179
Family physician in Duluth, Georgia. Individual provider, active in the CMS NPPES registry since November 12, 2020.
## Identity
- **NPI:** 1972105179 (Entity type: Individual)
- **Enumerated:** November 12, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP219246 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3215 MCCLURE BRIDGE RD, Duluth, GA 30096-3223
- **Phone:** (678) 312-6200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Longstreet Clinic, PC (NPI 1326019977, Gainesville, GA); Northeast Georgia Community Physicians LLC (NPI 1881583730, Gainesville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972105179) · Data from the CMS NPPES public registry.