Brian C Ham, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP3033052 Issued in FL

Practice address

409 High St
Chattahoochee, FL 32324-1303

Phone

(850) 663-4643

Fax

(850) 663-2350

NPI assigned

Sep 4, 2007

Last updated

Jan 27, 2022By 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 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Marianna, FL, CCN 109102
• Concierge Home Care Home health agency, Panama City, FL, CCN 687029
• Jackson Hospital Hospital, Marianna, FL, CCN 100142
• Calhoun-Liberty Hospital Hospital, Blountstown, FL, CCN 101304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.ham@hca5.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IDIDDD/Endpoint/IDIDDD

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.

• First Care Clinic LLC

  • Primary Care Nurse Practitioner
  • Chattahoochee, FL
  • NPI 1629848908
  Medicare reassignment NPD Authorized official
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Calhoun Liberty Hospital Association, Inc.

  • Critical Access Hospital
  • Blountstown, FL
  • NPI 1437253085
  Care Compare affiliation
• Centerwell Health Services (Certified), Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Marianna, FL
  • NPI 1194918854
  Care Compare affiliation
• Covenant Home Health Care, LLC

  dba Concierge Home Care

  • Home Health Agency
  • Panama City, FL
  • NPI 1598325714
  Care Compare affiliation
• Jackson County Hospital District

  • General Acute Care Hospital
  • Marianna, FL
  • NPI 1538108725
  Care Compare affiliation

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1053505909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 HIGH ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241303",
            "telephone_number": "850-663-4643",
            "fax_number": "850-663-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HIGH ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241303",
            "telephone_number": "850-663-4643",
            "fax_number": "850-663-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-04",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP3033052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRIAN.HAM@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "409 High St",
            "city": "Chattahoochee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323241303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michae A Ford
• Grant Center Hospital of Ocala Inc. (Family Medical Clinic)
• Mariette Zanders Gray, APRN
• Tashedra Hadley
• Chelsea Hagen, PSY.D.
• James Michael Healy, PH.D.
• Frances L Henry-Bush
• William G. Himadi, PH.D.
• Holiday CVS LLC (CVS Pharmacy 05167)
• Kelissa Huggins, APRN

• Adult Health Nurse Practitioner in Chattahoochee, FL
• Providers in Chattahoochee, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.