Active NPI
James G Hamilton Jr MD LLC
- Geriatric Medicine (Family Medicine) Physician
- Mount Airy, GA
National Provider Identifier
1003385733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Gregory Hamilton Jr., MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | Primary | ||
| Hospice and Palliative Medicine (Family Medicine) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.