MEDICARE: CARROANITA HALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1932067386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARROANITA HALL

Provider Business Mailing Address
First Line	:	250 WILLINGHAM DR
Second Line	:
City	:	BONAIRE
State	:	GA
Zip	:	31005-4115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 WILLINGHAM DR
Second Line	:
City	:	BONAIRE
State	:	GA
Zip	:	31005-4115
Country	:	US
Telephone Number	:	321-576-8787
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

Similar Medicare Providers

1740259159 — MRS. SHEILA WILMORE HATCHER FNP-C
Practice Location Address:

106 FORESTBROOKE WAY
BONAIRE, GA
31005-3643

Practice Phone: 478-955-0116
Practice Fax:

1386602662 — DR. MICHAEL J RENNER M.D.
Practice Location Address:

127 OLD HIGHWAY 96 STE B
BONAIRE, GA
31005-3461

Practice Phone: 478-352-7143
Practice Fax: 478-352-7144

1518915909 — MELANIE D. SHORTER M.D.
Practice Location Address:

106 MORAN DRIVE
BONAIRE, GA
31005

Practice Phone: 478-988-1282
Practice Fax: 478-988-3120

1083663348 — SAMUEL E. PALMER M.D.
Practice Location Address:

106 MORAN DRIVE
BONAIRE, GA
31005

Practice Phone: 478-988-1282
Practice Fax: 478-988-3120

1225087992 — ASHLEY G. LOSEKE PA
Practice Location Address:

106 MORAN DR
BONAIRE, GA
31005

Practice Phone: 478-988-1282
Practice Fax: 478-988-3120

1386674612 — DONA MICHELLE TUTEN II NP
Practice Location Address:

106 MORAN DR
BONAIRE, GA
31005-5106

Practice Phone: 478-988-1282
Practice Fax: 478-988-3120

Directions to “ CARROANITA HALL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.