Active NPI
Erika Elizabeth Hammond, PA
- Physician Assistant
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003542
- Practice address
- 790 Church St NE
Suite 335
Marietta, GA 30060-7282 - Phone
- (770) 590-8311
- Fax
- (770) 590-8313
- NPI assigned
- Mar 14, 2006
- Last updated
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003542 | GA | Primary |
| Medical Physician Assistant | 363AM0700X | 003542 | GA |
Addresses
Primary practice location
790 Church St NE
Suite 335
Marietta, GA 30060-7282
Mailing address
1835 Savoy Dr
Suite 300
Atlanta, GA 30341-1072
Phone (770) 590-8311
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202I976164 | Other | GA | MEDICARE PTAN |
| 310000119L | Medicaid | GA | |
| 310000119M | Medicaid | GA | |
| 310000119N | Medicaid | GA | |
| 310000119K | Medicaid | GA | |
| 310000119J | Medicaid | GA |
Other names 1
- Ms. Erika Elizabeth Taylor
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erika.hammondpac.p1@direct.gacancer.nextgenshare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSH Cancer Institute Professional Services G, LLC | Current | Accepting new patients | |
| NSH Cancer Institute Professional Services G LLC | Current | Accepting new patients | |
| Northside Hospital, Inc. | Past | Accepting new patients | |
| NSH Cancer Institute Professional Services G, LLC | Past | Accepting new patients | |
| Georgia Cancer Specialists I, PC | Past | Accepting new patients |
Locations
1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555
1668 Mulkey Rd
Ste 164
Austell, GA 30106
Phone (770) 590-8311
6300 Hospital Pkwy
Ste 300
Johns Creek, GA 30097
Phone (770) 623-8965
790 Church St NE
Ste 335
Marietta, GA 30060
Phone (770) 590-8311
1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1114996295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1835 SAVOY DR",
"address_2": "SUITE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411072",
"telephone_number": "770-590-8311",
"fax_number": "770-590-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 CHURCH ST NE",
"address_2": "SUITE 335",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607282",
"telephone_number": "770-590-8311",
"fax_number": "770-590-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMMOND",
"first_name": "ERIKA",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "003542",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "003542",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "202I976164",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310000119L",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310000119M",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310000119N",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310000119K",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310000119J",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erika.hammondpac.p1@direct.gacancer.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct Edge",
"address_1": "790 Church St NE",
"address_2": "Suite 335",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300607282",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERIKA",
"last_name": "TAYLOR",
"middle_name": "ELIZABETH",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.