Individual provider Active NPI

Scott A Hamilton, DPM

  • Foot & Ankle Surgery Podiatrist
  • Myrtle Beach, SC
National Provider Identifier
1093886962
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
95 Issued in SC
Practice address
8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone
(843) 449-8079
Fax
(843) 497-6147
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 95 SC Primary

Addresses

Primary practice location

8141 Rourk St
Myrtle Beach, SC 29572-4128

Mailing address

8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 449-8079

Other identifiers 1

IdentifierTypeStateIssuer
GP9984MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110201000729 SC Practitioner - Podiatry 6901949734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Coastal Podiatry Associates PAGroup PAC ID 3375686108, 6 clinicians

Practice addresses (Care Compare)

101 Cherokee PL
Suite 107
Loudon, TN 37774-4162
Phone (865) 408-9344

8141 Rourk St
Myrtle Beach, SC 29572-4128
Phone (843) 449-8079

Merit-based Incentive Payment System (MIPS)

Final score
80.91 of 100Reported as individual
Quality
68.01
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue69
Removal of skin lesions11
Removal of nail tissue771
Removal or shaving of skin growth438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95SCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Podiatry Associates PA Foot & Ankle Surgery CurrentSince Sep 1, 1995 Accepting new patients
Coastal Podiatry Associates PA Foot & Ankle Surgery CurrentSince Sep 1, 1995 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

956 International Dr
Myrtle Beach, SC 29579
Phone (843) 449-8079

8141 Rourk St
Myrtle Beach, SC 29572
Phone (803) 449-8079

Interoperability endpoints

  • Direct secure messaging: shamilton@coastalpodiatry.mdlogic.direct-ci.com

Organizations & group practices 5

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1093886962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8141 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-449-8079",
            "fax_number": "843-497-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8141 ROURK ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724128",
            "telephone_number": "843-449-8079",
            "fax_number": "843-497-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "SC",
            "license": "95",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9984",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.