Edward L Hall Jr. (NPI# 1053390153, PAC ID# 4688689235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1053390153 |
| PAC ID by PECOS | 4688689235 |
| Professional Enrollment ID | I20060217000533 |
| Full Name | Edward L Hall Jr. |
| Organization Legal Name | ARCHBOLD MEDICAL GROUP, INC. |
| Address |
915 Gordon Ave Thomasville GA 31792-6614 |
| Phone Number | 2292282000 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1978 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8123196383 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110038 | JOHN D ARCHBOLD MEMORIAL HOSPITAL |
| 110121 | GRADY GENERAL HOSPITAL |
| 111331 | MITCHELL COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2292285500 | ARCHBOLD MEDICAL GROUP, INC. |
| 100 Mimosa Dr, Fl 3, Thomasville, GA 31792-6676 | ARCHBOLD MEDICAL GROUP, INC. | |
| 915 Gordon Ave, Thomasville, GA 31792-6614 | 2292282000 | ARCHBOLD MEDICAL GROUP, INC. |
| Organization Legal Name | ARCHBOLD MEDICAL GROUP, INC. |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna A Gray | Nurse Practitioner | Archbold Medical Group, Inc. | 1090 5th St Se, Cairo, GA 39828-3139 |
| Jessica Lynn Smith | Nurse Practitioner | Archbold Medical Group, Inc. | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 |
| Richard S Stack | Urology | Archbold Medical Group, Inc. | 116 Mimosa Dr, Suite 2, Thomasville, GA 31792-6605 |
| Timothy Grayson | Urology | Archbold Medical Group, Inc. | 100 Mimosa Dr, Thomasville, GA 31792-6676 |
| Louis G Lee | Gastroenterology | Archbold Medical Group, Inc. | 947 S Broad St, Thomasville, GA 31792-6161 |
| Kristine E Deutsch | Nurse Practitioner | Archbold Medical Group, Inc. | 112 Mimosa Dr, Thomasville, GA 31792-6605 |
| Stanley B Allen | Physician Assistant | Archbold Medical Group, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Latarsha L Jones | Nurse Practitioner | Archbold Medical Group, Inc. | 704 S Broad St, Thomasville, GA 31792-6107 |
| Melissa H Porter | Physician Assistant | Archbold Medical Group, Inc. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Shay B Schie | Nurse Practitioner | Archbold Medical Group, Inc. | 919 S Broad St, Thomasville, GA 31792-6114 |
| Street Address |
915 GORDON AVE |
| City | THOMASVILLE |
| State | GA |
| Zip | 31792-6614 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keerthi Kiran Ponugoti | Pulmonary Disease | John D. Archbold Memorial Hospital, Inc. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Jason Griffin | Family Medicine | Southland Hospitalist Group, LLC | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| William W Ellis | Cardiovascular Disease (cardiology) | John D. Archbold Memorial Hospital, Inc. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Daniel Ricardo Matta | Family Medicine | Southland Hospitalist Group, LLC | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Michael Quinif | Anesthesiology | South Georgia Anesthesia Associates, PC | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Richard W Murphy Jr. | Orthopedic Surgery | Thomasville Orthopedic Center, PC | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Melissa H Porter | Physician Assistant | Archbold Medical Group, Inc. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Edward Truman Wright Iii | Pathology | Pathology Associates, P.C. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Winston C Connell | Emergency Medicine | Decatur Emergency Physicians LLC | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Robert D Miles Jr. | Cardiovascular Disease (cardiology) | John D. Archbold Memorial Hospital, Inc. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley B Allen | Physician Assistant | Archbold Medical Group, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| James A Thompson | Certified Clinical Nurse Specialist (cns) | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Felicia M Yearby | Nurse Practitioner | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Ann T Lucas | Clinical Psychologist | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Todd A Hanscom | Chiropractic | 409 E Jackson St, Thomasville, GA 31792-4615 | |
| David A Miller | Physical Medicine and Rehabilitation | 421 E Jackson St, Thomasville, GA 31792-4694 | |
| Albert I Richardson | General Surgery | Southern Vascular Specialists, LLC | 1019 E Jackson St, Thomasville, GA 31792-4789 |
| Karen B Lee | Nurse Practitioner | Southern Vascular Specialists, LLC | 1019 E Jackson St, Thomasville, GA 31792-4789 |
| Stephen W Pearce | Certified Registered Nurse Anesthetist (crna) | Georgia-florida Eye Centers, P.C. | 2282 E Pine Tree Boulevard, Thomasville, GA 31792-4807 |
| Robert D Webb | Ophthalmology | Georgia-florida Eye Centers, P.C. | 2282 E Pine Tree Boulevard, Thomasville, GA 31792-4807 |
| Find all physicians in zip 31792 | |||
| City | THOMASVILLE |
| Zip Code | 31792 |
| Specialty | GENERAL SURGERY |
| City + Specialty | THOMASVILLE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Edward L Hall Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.