Individual provider Active NPI

Wyndol Span Hamer Jr., M.D

  • Internal Medicine Physician
  • Anniston, AL
National Provider Identifier
1124016480
Registry record updated Jul 18, 2014
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9756 Issued in AL
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

Updated by the provider on Jul 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9756ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keel and Associates PastSince Feb 17, 2024 Accepting new patients
Southeast Medical Group, P.C. Past Accepting new patients
Oxford Clinic LLC PastSince Jun 16, 2012 Accepting new patients
Avalon Medical Group Internal Medicine PastSince Mar 17, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.