Andrea Regina Hall, Lpn
Licensed Practical Nurse in Dacula, GA. Individual provider (NPI-1).
NPI number1003765637
StatusActive
Last updated in NPPESJan 26, 2026
Details
- NPI
- 1003765637
- Entity type
- Individual (NPI-1)
- Name
- Andrea Regina Hall
- Credential
- Lpn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2026
- Certification date
- Jan 26, 2026
- Last updated
- Jan 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN5213062 | FL | Yes |
Practice location
Po Box 206Dacula, GA 30019-0004
Phone 470-714-9009
Mailing address
Po Box 206Dacula, GA 30019-0004
Phone 470-714-9009
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Licensed Practical Nurse providers in Dacula, GA
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