NPIMap

Individual provider Active NPI

Rachel W Hamil, MD

  • Emergency Medicine Physician
  • Bogart, GA
National Provider Identifier
1124087077
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
047441 Issued in GA
Practice address
4017 Atlanta Hwy Ste a
Bogart, GA 30622-2212
Phone
(706) 389-3065
NPI assigned
Mar 20, 2006
Last updated
Sep 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101235425 VA
Emergency Medicine Physician 207P00000X 047441 GA Primary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 047441 GA

Addresses

Primary practice location

4017 Atlanta Hwy Ste a
Bogart, GA 30622-2212

Mailing address

4017 Atlanta Hwy Ste a
Bogart, GA 30622-2212
Phone (706) 389-3065

Other identifiers 3

IdentifierTypeStateIssuer
010127360MedicaidVA
3810001228MedicaidWV
003119527AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120125000689 GA Practitioner - Emergency Medicine 7517951734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconee Wound Care Specialists LLCGroup PAC ID 6800038605, 4 clinicians

Practice addresses (Care Compare)

4017 Atlanta Hwy
Suite a
Athens, GA 30606-0812
Phone (706) 389-3065

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue337
Removal of skin lesions32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047441GAMDUndersea and Hyperbaric Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oconee Wound Care Specialists LLC Undersea and Hyperbaric Medicine CurrentSince Jul 1, 2013 Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Emergency Medicine South LLC Emergency Medicine Past Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Shenandoah Memorial Hospital, Inc. PastSince Jan 26, 2025 Accepting new patients
Cherokee Emergency Services, LLC Past Accepting new patients

Locations

4017 Atlanta Hwy
#A
Athens, GA 30606
Phone (706) 389-3065

Interoperability endpoints

  • Direct secure messaging: rhamil2018104@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1124087077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 ATLANTA HWY STE A",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222212",
            "telephone_number": "706-389-3065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4017 ATLANTA HWY STE A",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222212",
            "telephone_number": "706-389-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIL",
        "first_name": "RACHEL",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101235425",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "047441",
            "primary": true
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": "047441",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010127360",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001228",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003119527A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogart, GA

Sources for this page

Verify at the official NPI Registry.