Organization Active NPI

William D Hammonds, MD

  • Pain Clinic/Center
  • Saint Marys, GA
National Provider Identifier
1093088635
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
14053 Issued in GA
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.