Glenn M Hall Jr. is a Surgery Physician practicing in Duluth, Georgia. The National Provider Identifier (NPI) is #1104072230, which was assigned on August 8, 2008, and the registration record was last updated on October 29, 2025. The practitioner's main practice location is at 3855 Pleasant Hill Rd Ste 470, Duluth, GA 30096-1417; the contact telephone number is 6783127280. The primary taxonomy of Glenn M Hall Jr. is Surgery Physician (208600000X). Glenn M Hall Jr. is licensed to practice in the state of Ohio (#35.127088), New Hampshire (#20807).
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
| NPI | 1104072230 |
| Entity Type | Individual |
| Provider Name | GLENN M HALL JR. |
| Gender | Male |
| Credential | MD |
| Practice Address |
3855 Pleasant Hill Rd Ste 470 Duluth GA 30096-1417 |
| Practice Telephone | 6783127280 |
| Mailing Address |
3855 Pleasant Hill Rd Ste 470 Duluth GA 30096-1417 |
| Mailing Telephone | 6783127280 |
| Certification Date | 2025-10-29 |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2025-10-29 |
| Is Sole Proprietor | N |
| PAC ID |
2264740802 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | GLENN HALL |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Primary Specialty | GENERAL SURGERY |
| Organization Legal Name | NORTHSIDE SURGICAL PROFESSIONAL SERVICES LLC |
| Address |
3855 Pleasant Hill Rd Suite 470 Duluth GA 30096-1417 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35.127088 | OH | ||
| N | 208C00000X | Colon & Rectal Surgery | 20807 | NH |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 3124445 | NH | MEDICAID |
| Address | Telephone | Fax |
|---|---|---|
| 1380 NW Washington Blvd, Hamilton, OH 450131208 | 5137373690 | |
| 181 Corliss Ln, Colebrook, NH 035763207 | 6032378652 | |
| 3073 White Mountain Hwy, North Conway, NH 038607101 | 6033564835 | 6033562604 |
| 777 Kimole Ln Ste 220, Adrian, MI 492211400 | 5172636464 | 5172638223 |
| Code | 208600000X |
| Taxonomy | Surgery Physician |
| Classification | Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| Code | 208C00000X |
| Taxonomy | Colon & Rectal Surgery Physician |
| Classification | Colon & Rectal Surgery |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Landon Krone | 8017 Burthe St, New Orleans, LA 70118-2732 | Surgery Physician | 2026-03-26 |
| Sara Larosiliere | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | Surgery Physician | 2026-04-08 |
| Mathew Dean Sexton | 1 Hospital Drive Columbia Mo 65212., Columbia, MO 65212-0001 | Surgery Physician | 2026-04-10 |
| Sameeras Medical Corporation | 1180 N Indian Canyon Dr Ste E218, Palm Springs, CA 92262-4885 | Surgery Physician | 2026-04-08 |
| True Care Surgical Assist, LLC | 37 E Willow St, Millburn, NJ 07041-1416 | Surgery Physician | 2026-04-07 |
| Ximed Center for Medical & Surgical Weight Management, Inc | 9850 Genesee Ave Ste 570, La Jolla, CA 92037-1229 | Surgery Physician | 2026-04-09 |
| Heejoo Kang | 330 Brookline Ave, Boston, MA 02215-5400 | Surgery Physician | 2026-04-10 |
| Taina Cancel | 17240 Cortez Blvd, Brooksville, FL 34601-8921 | Surgery Physician | 2026-04-02 |
| Coastal Gastroenterolgy and General Surgery LLC | 3440 Tamiami Trl Unit 1, Port Charlotte, FL 33952-8134 | Surgery Physician | 2026-04-02 |
| Carroll Health Group, LLC | 535 Old Westminster Pike Ste 104, Westminster, MD 21157-6267 | Surgery Physician | 2026-04-01 |
| Find all providers with the same taxonomy | |||
| Street Address |
3855 PLEASANT HILL RD STE 470 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-1417 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Wellness One of Duluth | 3294 Peachtree Industrial Blvd, Suite 2005, Duluth, GA 30096 | Chiropractor | 2007-04-12 |
| Marie Alaine Kruzel | 3460 Summit Ridge Pkwy, Duluth, GA 30096-1622 | Chiropractor | 2007-05-09 |
| Sherif B Wassef · Sherif Botros Mikhail Wassef | Po Box 1111, Duluth, GA 30096-0020 | Diagnostic Radiology Physician | 2007-05-03 |
| Snkhomecaarellc | 3235 Satellite Blvd, Bldg 400, Suite 300, Duluth, GA 30096 | Home Health Agency | 2025-08-14 |
| Caring for Angels Home Care | 4021 Howell Park Rd, Duluth, GA 30096-1730 | In Home Supportive Care Agency | 2025-07-18 |
| Vision Expo Pdy Inc | 2550 Pleasant Hill Rd, Suite 114, Duluth, GA 30096 | Eyewear Supplier | 2007-04-12 |
| Positive Impact Health Centers, Inc. | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | Community/Retail Pharmacy | 2018-11-14 |
| Worthy Medical Supply Inc. | 3675 Crestwood Pkwy Nw Ste 520, Duluth, GA 30096-1803 | Durable Medical Equipment & Medical Supplies | 2008-12-18 |
| Academy Orthopedics, LLC | 3540 Duluth Park Lane, Ste 220, Duluth, GA 30096 | Orthopaedic Surgery Physician | 2015-07-24 |
| Damar Antwan Lewis | 3855 Pleasant Hill Rd, Duluth, GA 30096-1407 | Acute Care Nurse Practitioner | 2025-01-13 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Delaney Glenn Chimienti · Delaney Glenn Eaton | 1740 Ridge Ave Ste 7, Evanston, IL 60201-5909 | Professional Counselor | 2023-11-08 |
| Steven Blalock Glenn · Blake Glenn | 410 W 10th Ave, Columbus, OH 43210-1240 | Physician Assistant | 2025-11-03 |
| Chontay Glenn · Chontay Taylor Glenn | 2089 Anita Ave, Grosse Pointe Woods, MI 48236-1427 | Mental Health Counselor | 2007-05-21 |
| Jennie Antoinette Miele-Hall · Jennie Hall | 149 Minor St, New Haven, CT 06519-1623 | Addiction (Substance Use Disorder) Counselor | 2021-11-04 |
| Kathryn Hall-Shepard · Kate Hall-Shepard | 1477 Ebenezer Rd, Rock Hill, SC 29732-2338 | Professional Counselor | 2022-01-05 |
| Kay Teresa Hall · Kevin William Hall | 50 E 8th St Apt 2t, New York, NY 10003-6521 | Clinical Social Worker | 2020-07-30 |
| Kim Glenn | 1435 G St, Springfield, OR 97477-4113 | Physician Assistant | 2008-01-24 |
| Eboni Glenn Fleming · Eboni Ashley Glenn | 5115 Hampton Blvd, Norfolk, VA 23529-5000 | Family Nurse Practitioner | 2024-04-18 |
| Glenn Jordan-Fairley | 8201 W Broward Blvd, Plantation, FL 33324-2701 | Student in an Organized Health Care Education/Training Program | 2026-03-21 |
| Michael S Hall · Mike S Hall | 551 S Holland Ln, Wichita, KS 67209-2007 | Physician Assistant | 2006-05-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |