MR. CHAD E HALL (PA-C) – Medical Physician Assistant, NPI 1588719389

MR. CHAD E HALL (PA-C) is a healthcare provider. based in Lawrenceville, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 001658 (GA). The NPI Number for MR. CHAD E HALL (PA-C) is 1588719389

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MR. CHAD E HALL (PA-C)
NPI
1588719389
Phone
(678) 252-3735
Address
755 WALTHER RD
Enumeration Date
24 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6783124321
Graduation Year
1985 (41 years ago)
PAC ID
0244406619
Group Practice PAC ID
9133211139
Professional Enrollment ID
I20120106000117
Address ID
GA300467694LA1000XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,431 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MR. CHAD E HALL (PA-C)

  • Walther Road Northwest, Lawrenceville, Gwinnett County, Georgia, 30243, United States

    LAWRENCEVILLE, GA 300458725

    Phone: (678) 252-3735

    Type: Location

  • 2254 OAK FALLS LN

    BUFORD, GA 305191993

    Phone: (770) 271-4137

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-01-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120106000117IPhysician AssistantGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 30045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133211139View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MR. CHAD E HALL (PA-C)?
NPI 1588719389 is assigned to MR. CHAD E HALL (PA-C) under the national enumeration system.
Does this profile mean MR. CHAD E HALL (PA-C) is currently active?
Yes — MR. CHAD E HALL (PA-C) appears active in the national provider directory.
What field does MR. CHAD E HALL (PA-C) work in?
You can think of MR. CHAD E HALL (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. CHAD E HALL (PA-C) practice in Georgia?
You will see Lawrenceville, Georgia on file for MR. CHAD E HALL (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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