Individual provider Active NPI

Kelly Lewis Hamilton, DO

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1013657600
Registry record updated May 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2026-01986 Issued in NC
Practice address
77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875
Phone
(984) 974-9646
Fax
(984) 974-5217
NPI assigned
Mar 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2026-01986 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X
Psychosomatic Medicine Physician 2084P0015X 2026-01986 NC

Addresses

Primary practice location

77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875

Mailing address

77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875
Phone (984) 974-9646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260421000068 NC Order and Referring Only - PsychiatryPractitioner - Psychiatry 7214403856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2026-01986NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Georgetown Medical Center, Inc PastSince Apr 3, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1013657600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR STE 300",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141875",
            "telephone_number": "984-974-9646",
            "fax_number": "984-974-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR STE 300",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141875",
            "telephone_number": "984-974-9646",
            "fax_number": "984-974-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "KELLY",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2026-01986",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NC",
            "license": "2026-01986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.