Hamlet Hma PPM LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

2012-00378 Issued in NC

Legal business name

HAMLET HMA PPM LLC

Practice address

913 Oakwood St
Bennettsville, SC 29512-2459

Phone

(910) 582-0550

Fax

(910) 582-0660

NPI assigned

Oct 7, 2011

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Donald P Easterling

Title

President

Phone

(239) 598-3131

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Sandhills Nephrology Doing business as

Locations

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1013291079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082733",
            "telephone_number": "239-598-3131",
            "fax_number": "239-592-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 OAKWOOD ST",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122459",
            "telephone_number": "910-582-0550",
            "fax_number": "910-582-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLET HMA PPM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC.",
        "enumeration_date": "2011-10-07",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "EASTERLING",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2012-00378",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "34456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NCB335",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920440",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914056",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sandhills Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Temeka Justine Ruth Green
• Sharon Kristen Gregory, MA, LPC
• Adam Michael Gude, NP-C
• Sharon G Gulledge, APRN, BC
• Earlean Renita Hall, BA
• Karen Michelle Hammond, RN
• Tressa Hancock, MSAP, NCSP
• Dion Edward Harrell, MHP MA
• Hossan A Hassan, M.D.
• Kimberly Hastie

• Nephrology Physician in Bennettsville, SC
• Providers in Bennettsville, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.