| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MEREDYTH BLAIR HALL | 1386118354 | 2024-04-05 |
Meredyth Blair Hall [F] graduated in 2018 and primarily specializes in Nurse Practitioner.
Meredyth Blair Hall is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1386118354. Registration indicates Meredyth Blair Hall is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 4880932722 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Meredyth Blair Hall |
| Practice Office Address | 1918 RANDOLPH RD STE 600 CHARLOTTE, NC US |
| Practice Office Telephone | 7043420252 |
| Practice Office Fax | 9805337801 |
| Mailing Address | 1918 RANDOLPH RD STE 600 CHARLOTTE, NC 282071198 US |
| Business Telephone | 7043420252 |
| Business Fax | 9805337806 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1918 Randolph Rd Ste 600 | Charlotte, NC 282071198 | 7043420252 / 9805337801 |
| 6035 Fairview Rd | Charlotte, NC 282103256 | 7042953000 |
| Direct Messaging Address [] | [email protected] | |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 204337
NC |
| 1386118354 | MEDICAID | NC | |
| 200X1 | OTHER | NC | BCBS |
| 0935149 | OTHER | NC | CIGNA |