Tara Leeann Hamilton, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Byron, GA
NPI 1003346909 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1003346909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN227394 (GA)
- Practice address
- 1960 Highway 247 Conn
Byron, GA 31008 - Phone
- (478) 654-2400
- NPI assigned
- Jun 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston County Emergency Group, LLC
Peach Emergency Group LLC
Practice addresses (Care Compare)
1120 Morningside Dr
Perry, GA 31069-2906
Phone (478) 987-3600
1960 Ga Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-8400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170811001117 | GA | Practitioner - Nurse Practitioner | 6103197900 | Reassigns benefits to 8 organizations |
| I20180502001044 | AL | Practitioner - Nurse Practitioner | 6103197900 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisp Regional Hospital, Inc | Current |
Accepting new patients | |
| Houston County Emergency Group, LLC | Current |
Accepting new patients | |
| Baldwin Emergency Group, LLC | Current |
Accepting new patients | |
| Crisp Regional Hospital Inc | Current |
Accepting new patients | |
| Benning Hospitalist Services, LLC | Current |
Accepting new patients | |
| Muscogee Hospitalist Services, LLC | Current |
Accepting new patients | |
| Acs Primary Care Physicians - Southeast PC | Current |
Accepting new patients | |
| Peach Emergency Group LLC | Current |
Accepting new patients | |
| Heritage Physician Services, LLC | Current |
Accepting new patients | |
| Houston County Emergency Group, LLC | Current |
Accepting new patients | |
| Alabama Em-I Medical Services PC | Current |
Accepting new patients | |
| Alabama Em I Medical Services PC | Current |
Accepting new patients |
Locations
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
1032 Main St S
Wedowee, AL 36278
Phone (256) 357-2111
1960 Highway 247
Byron, GA 31008
Phone (478) 654-2000
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500
2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- tbutts435502@carolinashealthcaresystem.direct-ci.com
- tara.hamilton.1@28957.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-164421 | AL | |
| Family Nurse Practitioner | 363LF0000X | CNP181263 | ME | |
| Family Nurse Practitioner | 363LF0000X | RN227394 | GA | Yes |
Addresses
Primary practice location
1960 Highway 247 Conn
Byron, GA 31008
Mailing address
1960 Highway 247
Byron, GA 31008-5663
Phone (478) 654-2400
Other names
- Tara Leeann Hamilton
Other providers in Byron, GA
- Marlie Driver Grogan
- Albreia Levonti Hall Crumsey
- Ellie Parrish Hall
- James Edward Hall
- Deidra Hambrick
- Haynes Nutrition, LLC
- Rachel Haynes
- Scott Haynes
- Kelsey Heath
- Courtney S Hendrix
All providers in Byron, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.