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Export Provider Record NPI 1063522555
George Jeffrey HallPA
Active
NPI Number1063522555
NPI TypeNPI-1 Individual
SpecialtyPhysician Assistant
Provider Details
NPI1063522555
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-30
Last Updated2021-03-11
Mailing Address1523 Chickasha Dr
Pfafftown, NC 27040-8203
United States
Phone: (585) 766-1135 | Fax: (585) 223-4984
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Primary Practice AddressPhysicians Eldercare, 4692 Brownsboro Rd
Winston-Salem, NC 27106-2710
United States
Phone: (336) 251-1114
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363A00000X – Physician AssistantNC0010-09654
No363A00000X – Physician AssistantNY005018
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About NPI 1063522555

George Jeffrey Hall PA is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063522555. The primary specialty listed is Physician Assistant. The provider is located in Winston-Salem, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063522555?

NPI 1063522555 belongs to George Jeffrey Hall PA, a Physician Assistant in Winston-Salem, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063522555 active?

The current status of NPI 1063522555 in the NPPES registry is Active. The record was last updated on 2021-03-11.

What specialty is NPI 1063522555?

NPI 1063522555 is classified under the taxonomy Physician Assistant. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063522555?

You can verify NPI 1063522555 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063522555?

The primary practice address on file for NPI 1063522555 is Physicians Eldercare, Winston-Salem, NC 27106-2710. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063522555 issued?

NPI 1063522555 was first issued (enumerated) on 2006-08-30. The NPPES record was last updated on 2021-03-11.

Practice Location Map

George Jeffrey Hall is located at Physicians Eldercare, Winston-Salem, NC. Use the map below to find directions or verify the practice location.

📍 Physicians Eldercare, Winston-Salem, NC 27106-2710  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as George Jeffrey Hall. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063522555. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Physician Assistant0010-09654NC
Physician Assistant005018NY
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162