Individual provider Active NPI

Christopher Shant Hamamdjian, DO

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1043638117
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
92233 Issued in GA
Practice address
6133 Peachtree Dunwoody Rd
Atlanta, GA 30328-5332
Phone
(678) 412-0311
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 92233 GA Primary

Addresses

Primary practice location

6133 Peachtree Dunwoody Rd
Atlanta, GA 30328-5332

Mailing address

6133 Peachtree Dunwoody Rd
Atlanta, GA 30328-5332
Phone (678) 412-0311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20220110001169 MI Practitioner - General Surgery 4284932138 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92233GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Surgery Center of Atlanta Single Specialty CurrentSince Aug 11, 2024 Accepting new patients
Atlanta Surgical Arts, P.C. Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Skilled Facility Health Care Solutions Inc Single Specialty CurrentSince Dec 13, 2021 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

6133 Peachtree Dunwoody Rd
Sandy Springs, GA 30328
Phone (404) 516-3789

40600 Ann Arbor Rd E
Ste 200
Plymouth, MI 48170

Interoperability endpoints

  • Direct secure messaging: chamamdjian484633@direct.hfhs.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1043638117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 PEACHTREE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285332",
            "telephone_number": "678-412-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 PEACHTREE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285332",
            "telephone_number": "678-412-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAMDJIAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHANT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "92233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.