Hamlet Medical Clinic.P.a

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9500248 Issued in NC

Legal business name

HAMLET MEDICAL CLINIC.P.A

Practice address

400 Kimberwicke Dr
Fayetteville, NC 28311-7177

Phone

(910) 920-1579

NPI assigned

Apr 15, 2007

Organization subpart

No

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

Authorized official

Name

Bharatkumar Natverlal Thakkar, M.D.

Title

President

Phone

(910) 920-1579

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104041300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 KIMBERWICKE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117177",
            "telephone_number": "910-920-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 KIMBERWICKE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117177",
            "telephone_number": "910-920-1579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMLET MEDICAL CLINIC.P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "BHARATKUMAR",
        "authorized_official_middle_name": "NATVERLAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-920-1579",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9500248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7982447",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82447",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110229797",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Hamilton, PA-C
• Sasha Sharmaine Hamilton
• Shani Marcay Hamilton, RRT
• Thomas Hugo Hamilton Jr., DDS
• Thomas S Hamilton Jr.
• Hamlin Glover Consulting Group, LLC
• Denise Hamlin-Glover, LMFT
• Amy Hammer, MS. CCC-SLP
• Sylvia Hammett
• Lenita J Hammonds Murphy, PA-C

• Internal Medicine Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.