Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicholas Robert Hall, PA

Individual provider Medical Physician Assistant · NPI 1548530827

Nicholas Robert Hall, PA is a Physician Assistant in South Boston, Virginia. Qualified in 2011, 15 years ago. Practices with Pulmonary Associates of Southside Virginia, Inc, a 16-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2210 Wilborn Ave
South Boston, VA 24592-1630
Phone: (434) 575-5864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1548530827
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 4, 2012
Mailing address9400 Weathersfield Dr, Bristow, VA 20136-1716

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Pulmonary Associates Of Southside Virginia, Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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