Organization Active NPI

James G Hamilton Jr MD LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Airy, GA
National Provider Identifier
1003385733
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
JAMES G HAMILTON JR MD LLC
Practice address
4898 Highway 197
Mount Airy, GA 30563-2442
Phone
(706) 499-7290
Fax
(706) 754-0160
NPI assigned
Nov 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James Gregory Hamilton Jr., MDNPI 1346222742
Title
Owner/Employee
Phone
(706) 754-7485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X Primary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QH0002X

Addresses

Primary practice location

4898 Highway 197
Mount Airy, GA 30563-2442

Mailing address

PO Box 1615
Clarkesville, GA 30523-0027
Phone (706) 754-7485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314001778 GA Part B Supplier - Clinic/Group Practice 6002156866 Receives reassigned benefits from 2 practitioners
Practice locations: Clayton, GA; Cleveland, GA; Mount Airy, GA

National Provider Directory

National Provider Directory

Locations

161 Friendship Rd
Cleveland, GA 30528
Phone (706) 754-7485

676 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 499-7290

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1003385733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1615",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305230027",
            "telephone_number": "706-754-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4898 HIGHWAY 197",
            "city": "MOUNT AIRY",
            "state": "GA",
            "postal_code": "305632442",
            "telephone_number": "706-499-7290",
            "fax_number": "706-754-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G HAMILTON JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "706-754-7485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.