MARIA MERCEDES HALL FNP-C
NPI 1972105179
Nurse Practitioner - Family in Duluth, GA

Active since November 12, 2020PECOS EnrolledAccepts Medicare Assignment
76.58/100
CMS Quality Rating
3215 MCCLURE BRIDGE RD, DULUTH, GA 30096(678) 312-6200 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 8, 2024, Apr 23, 2021, Mar 17, 2021 and 2 more (5 updates tracked since 2020).

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

NPI1972105179
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIA MERCEDES HALLCredential: FNP-C
Location Address3215 MCCLURE BRIDGE RDDuluth, GA 30096-3223
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 533-4786
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 12, 2020
Last NPPES UpdateOctober 30, 20255 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
NPI 1972105179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · APRN-NP219246
3215 MCCLURE BRIDGE RD, Duluth, GA 30096

Secondary Practice Locations 3

Location 11120 Peachtree Industrial BlvdSuwanee, GA 30024-2013 · Phone (678) 207-4620 · Fax (678) 207-4619
Location 21270 Friendship RdBraselton, GA 30517-5630 · Phone (770) 534-0110 · Fax (770) 534-2555
Location 3725 Jesse Jewell Pkwy SEGainesville, GA 30501-3834 · Phone (770) 534-0110 · Fax (770) 531-2422

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1850704255
PECOS Enrollment IDI20210104000457
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
214 services82 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
51 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

76.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.63
Promoting Interoperability87
Improvement Activities20
Cost72.14

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.

Physical Medicine & Rehabilitation
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096
Physical Medicine & Rehabilitation
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096
Physical Medicine & Rehabilitation
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096
Physical Medicine & Rehabilitation
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096
Physical Medicine & Rehabilitation
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096
Internal Medicine
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096
Specialist/Technologist (Athletic Trainer)
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096
Surgery
3215 MCCLURE BRIDGE RD
DULUTH, GA 30096

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972105179, enumerated as an "individual" on November 12, 2020.

The provider is located at 3215 MCCLURE BRIDGE RD DULUTH, GA 30096 and the phone number is (678) 312-6200.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.