JERRY K HALL (MD) – Emergency Medicine Physician, NPI 1902844137

JERRY K HALL (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 057472 (GA). The NPI Number for JERRY K HALL (MD) is 1902844137

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
JERRY K HALL (MD)
NPI
1902844137
Phone
(770) 874-5400
Address
5665 NEW NORTHSIDE DR NW
Enumeration Date
2 June 2006
Last Update Date
16 August 2007

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9549395000
Graduation Year
2003 (23 years ago)
PAC ID
7315959061
Group Practice PAC ID
7618140955
Professional Enrollment ID
I20060620000069
Address ID
GA300467694LA1000XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,513 EMERGENCY MEDICINE in GA

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Provider Addresses for JERRY K HALL (MD)

  • 5665, New Northside Drive Northwest, Atlanta, Georgia, 30328, United States

    SUITE 320

    ATLANTA, GA 303285831

    Phone: (770) 874-5400

    Fax: (770) 874-5469

    Type: Mailing

  • Austell Road, Austell, Cobb County, Georgia, 30106, United States

    AUSTELL, GA 301061121

    Phone: (770) 732-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2006-06-20

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
I20060620000069IEmergency MedicineGATBD

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
99285Emergency department visit with high level of medical decision making171167$0
99291Critical care, first 30-74 minutes144142$0
99284Emergency department visit with moderate level of medical decision making5655$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only2929$0
View full utilization report →

Insurance plans in this area (ZIP 30328)

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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: 7618140955View full group profile
NameSpecialtyState
-GA
Emergency MedicineGA
Emergency MedicineGA
-GA
Physician AssistantGA
Pediatric Medicine, Emergency MedicineGA
Emergency MedicineGA
-GA
Physician AssistantGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Does JERRY K HALL (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JERRY K HALL (MD) uses 1902844137.
Does CMS list JERRY K HALL (MD) as active?
Yes — JERRY K HALL (MD) is active in the NPI listing used on this page.
What healthcare role does JERRY K HALL (MD) hold?
Scheduling teams often label JERRY K HALL (MD) under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JERRY K HALL (MD) based?
JERRY K HALL (MD) is tied to Atlanta, Georgia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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