Hamilton Stockton IV, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT003423 Issued in GA

Practice address

1605 Reilly Rd Unit 71213
Fort Bragg, NC 28307-4953

Phone

(404) 791-7695

NPI assigned

Jun 28, 2017

Last updated

Apr 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1043731268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 DUDLEY LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273306",
            "telephone_number": "404-791-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 REILLY RD UNIT 71213",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283074953",
            "telephone_number": "404-791-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "HAMILTON",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2023-04-06",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VT",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT003423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION",
            "identifier": "2000032997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard T Stevens, PSYD
• Larissa Stewart
• Mason Blake Stewart
• Vivian Elaine Stewart, LCSW, CAP
• Kimberly Nichole Stikeleather, MS, RD, LDN
• Robert L Stonerock, DDS
• Amanda Therese Mocarski Storey, OTR/L
• Bradley Paul Storrs, DDS
• Jerry Boyd Stover, FNP
• Kenneth J Stransky, MD

• Athletic Trainer in Fort Bragg, NC
• Providers in Fort Bragg, NC by specialty
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.