Active NPI
Wyndol Span Hamer Jr., M.D
- Internal Medicine Physician
- Anniston, AL
National Provider Identifier
1124016480
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9756
- Practice address
- 1700 Christine Ave
Suite 102
Anniston, AL 36207-3812 - Phone
- (256) 294-7004
- Fax
- (256) 294-7005
- NPI assigned
- Oct 11, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9756 | AL | Primary |
Addresses
Primary practice location
1700 Christine Ave
Suite 102
Anniston, AL 36207-3812
Mailing address
1700 Christine Ave
Suite 102
Anniston, AL 36207-3812
Phone (256) 294-7004
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9756 | AL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keel and Associates | Past | Accepting new patients | |
| Southeast Medical Group, P.C. | Past | Accepting new patients | |
| Oxford Clinic LLC | Past | Accepting new patients | |
| Avalon Medical Group | Internal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIJIBA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Muscle Shoals, AL
- NPI 1659139772
-
- General Practice Physician
- Oxford, AL
- NPI 1720136443
-
- Primary Care Clinic/Center
- Oxford, AL
- NPI 1972894293
-
- Family Medicine Physician
- Alpharetta, GA
- NPI 1235296054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1124016480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 CHRISTINE AVE",
"address_2": "SUITE 102",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362073812",
"telephone_number": "256-294-7004",
"fax_number": "256-294-7005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CHRISTINE AVE",
"address_2": "SUITE 102",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362073812",
"telephone_number": "256-294-7004",
"fax_number": "256-294-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMER",
"first_name": "WYNDOL",
"middle_name": "SPAN",
"name_suffix": "Jr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-11",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AL",
"license": "9756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.