JACK REYNOLDS HALL III (NPI# 1285269662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285269662 |
| Entity Type | Individual |
| Full Name | JACK REYNOLDS HALL III |
| Practice Address |
6339 Middle Ground Rd Statesboro GA 30461-8434 |
| Practice Telephone | 9126822367 |
| Mailing Telephone | 9126822367 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669930145 | Jack Tyson Hall | Nurse Practitioner | 400 Taylor Rd, Montgomery, AL 36117-3512 | 2019-03-04 |
| 1740605906 | Jack Brian Hall I | Pharmacist | 3360 Front St, Winnsboro, LA 71295-6487 | 2014-02-25 |
| 1619284239 | Jack E Hall | Physician Assistant | 121 S Crescent Dr, Pueblo West, CO 81007-5434 | 2010-09-02 |
| 1639228331 | Jack Grey Hall | Optometrist | 3801 Pelandale Ave, Modesto, CA 95356-8300 | 2007-01-10 |
| 1558337857 | Jack J Hall | Internal Medicine | 1800 E Lake Shore Dr, Decatur, IL 62521-3810 | 2006-02-27 |
| 1881676427 | Jack E Hall Jr. | Physician Assistant | 100 Mercy Way, Ste 430, Joplin, MO 64804-4524 | 2005-11-18 |
| Street Address |
6339 MIDDLE GROUND RD |
| City | STATESBORO |
| State | GA |
| Zip Code | 30461-8434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427592765 | Scarlet Gabrielle Shumate | Student in an Organized Health Care Education/Training Program | 1332 Southern Dr., Statesboro, GA 30461 | 2016-12-06 |
| 1164972642 | Olivia Anne Chester | Occupational Therapist | 5968 Lakeview Road, Statesboro, GA 30461 | 2016-10-10 |
| 1760672653 | Dawn Miller | Social Worker | 9017 Oakfield Drive, Statesboro, GA 30461 | 2007-07-27 |
| 1619167608 | Timothy Rollins Ussery | Specialist/Technologist | 16741 Hwy 67 South, Suite 1-a, Statesboro, GA 30461 | 2007-07-26 |
| 1245444579 | Chen-wen Shih | Obstetrics & Gynecology | 4002 Denton Loop, Statesboro, GA 30461 | 2007-05-09 |
| 1215149497 | A. Deo Klein, M.d., P.C. | Specialist | 1161 Sarahlyn Lane, Ste. A, Statesboro, GA 30461 | 2007-05-03 |
| 1568480051 | Robert William Cushner | Podiatrist | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-07-17 |
| 1356619613 | Statesboro Ambulatory Surgery Center, Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2011-12-01 |
| 1497883243 | Jennifer Lea Williamson | Physician Assistant | 1012 Bermuda Run, Statesboro, GA 30461 | 2007-03-02 |
| 1467569376 | Statesboro Ambul Surg Ctr Inc | Clinic/Center | 95 Bel Air Drive, Statesboro, GA 30461 | 2006-08-24 |
| Find all providers in zip 30461 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407404510 | Kennisha Shantell Wilson | Specialist/Technologist | 831 S Main St Apt 1417, Statesboro, GA 30458-3464 | 2019-09-01 |
| 1043863673 | Wendy Deal | Specialist/Technologist | 2000 Stambuk Ln, Statesboro, GA 30458-2583 | 2019-07-23 |
| 1831673284 | Claudia Marie Simpson | Specialist/Technologist | 130 Lanier Dr Apt 1118, Statesboro, GA 30458-8030 | 2018-09-21 |
| 1114401429 | Kayleigh Heather Stevenson | Specialist/Technologist | 350 Rucker Ln Unit 118, Statesboro, GA 30458-3241 | 2018-09-21 |
| 1548741622 | Kiana Marie Young | Specialist/Technologist | 130 Lanier Dr Apt 132, Statesboro, GA 30458-8006 | 2018-08-27 |
| 1073094173 | Cyntoria De'asia Thomas | Specialist/Technologist | 1400 Statesboro Place Cir Apt Cc559, Statesboro, GA 30458-0232 | 2018-08-27 |
| 1053891853 | Alexandria Franklin | Specialist/Technologist | 1332 Southern Dr, Statesboro, GA 30458 | 2018-08-21 |
| 1689154635 | Lauren White | Specialist/Technologist | 2000 Stambuk Ln Apt 931, Statesboro, GA 30458-0218 | 2018-08-20 |
| 1023598281 | Victoria Merritt | Specialist/Technologist | 1105 Misty Ct, Statesboro, GA 30461-7918 | 2018-08-17 |
| Find all providers in STATESBORO | ||||
| City | STATESBORO |
| Zip Code | 30461 |
Please comment or provide details below to improve the information on JACK REYNOLDS HALL III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.