Individual provider Active NPI

Ephriam Paul Hamm, RPT, ECS

  • Clinical Electrophysiology Physical Therapist
  • Columbus, GA
National Provider Identifier
1104902998
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT000495 Issued in GA
Practice address
6555 Standing Boy Rd
Columbus, GA 31904-2219
Phone
(706) 653-0161
Fax
(706) 653-7453
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X PT000495 GA
Clinical Electrophysiology Physical Therapist 2251E1300X PT000495 GA Primary

Addresses

Primary practice location

6555 Standing Boy Rd
Columbus, GA 31904-2219

Mailing address

6555 Standing Boy Rd
Columbus, GA 31904-2219
Phone (706) 653-0161

Other identifiers 2

IdentifierTypeStateIssuer
202G707915OtherGAMEDICARE GROUP NUMBER FOR CDC ON COMER
003104321AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
PT000495GAMDClinical Electrophysiology Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1104902998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 STANDING BOY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042219",
            "telephone_number": "706-653-0161",
            "fax_number": "706-653-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 STANDING BOY RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042219",
            "telephone_number": "706-653-0161",
            "fax_number": "706-653-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "EPHRIAM",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPT,  ECS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "GA",
            "license": "PT000495",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "GA",
            "license": "PT000495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER FOR CDC ON COMER",
            "identifier": "202G707915",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104321A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.