BRANDON HALL (NP) – Family Nurse Practitioner, NPI 1053801860
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for BRANDON HALL (NP)
148 Gene St
Willacoochee, GA 316502261
Phone: (912) 331-3322
Type: Location
1912 Memorial Dr Ste E
Waycross, GA 315010989
Phone: (912) 283-7100
Type: Location
903 WARD ST W STE A
DOUGLAS, GA 315333536
Phone: (912) 260-1191
Type: Location
3200 N ASHLEY ST STE C
VALDOSTA, GA 316025911
Phone: (229) 671-9100
Fax: (229) 671-9101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Braeburn Inc. ($20).
Total Amount
$49
General + Research + Ownership
Payments
3
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $20 |
| Davol Inc. | $15 |
| Hologic Sales and Service, LLC | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180815001085 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 192 | 177 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 80 | 80 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 38 | 38 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 30 | 15 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 28 | 28 | $0 |
Insurance plans in this area (ZIP 31650)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine, Geriatric Medicine | CT | |
| Emergency Medicine | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Internal Medicine | GA | |
| Emergency Medicine | LA | |
| Emergency Medicine | SC |
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