Active NPI
William D Hammonds, MD
- Pain Clinic/Center
- Saint Marys, GA
National Provider Identifier
1093088635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 14053
- Legal business name
- WILLIAM D HAMMONDS, MD
- Practice address
- 102 Lakeshore Dr
Suite C
Saint Marys, GA 31558-3874 - Phone
- (912) 729-7229
- Fax
- (912) 525-3190
- NPI assigned
- Feb 13, 2012
- Last updated
- Feb 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Schara Kerbo
- Title
- Vice President
- Phone
- (912) 729-7229
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 14053 | GA | |
| Pain Clinic/Center | 261QP3300X | 14053 | GA | Primary |
Addresses
Primary practice location
102 Lakeshore Dr
Suite C
Saint Marys, GA 31558-3874
Mailing address
102 Lakeshore Dr
Suite C
Saint Marys, GA 31558-3874
Phone (912) 729-7229
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329091200000",
"number": "1093088635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 LAKESHORE DR",
"address_2": "SUITE C",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583874",
"telephone_number": "912-729-7229",
"fax_number": "912-525-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LAKESHORE DR",
"address_2": "SUITE C",
"city": "SAINT MARYS",
"state": "GA",
"postal_code": "315583874",
"telephone_number": "912-729-7229",
"fax_number": "912-525-3190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM D HAMMONDS, MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-13",
"last_updated": "2012-02-13",
"status": "A",
"authorized_official_last_name": "KERBO",
"authorized_official_first_name": "SCHARA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "912-729-7229",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "GA",
"license": "14053",
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "GA",
"license": "14053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Marys, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.