Individual provider Active NPI

Bryan Hammer, DC

  • Chiropractor
  • Peachtree City, GA
National Provider Identifier
1124579826
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR009652 Issued in GA
Practice address
424 Crosstown Dr
Peachtree City, GA 30269-2915
Phone
(770) 668-3115
Fax
(770) 336-6393
NPI assigned
Oct 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO09652 GA
Chiropractor 111N00000X CHIR009652 GA Primary

Addresses

Primary practice location

424 Crosstown Dr
Peachtree City, GA 30269-2915

Mailing address

328 Bartlett Dr
Sharpsburg, GA 30277-2026
Phone (770) 668-3115

Other practice location 1

3339 Highway 34 E Ste C
Sharpsburg, GA 30277-3565
Phone (770) 252-1848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161026001690 GA Practitioner - Chiropractic 9032497052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

424 Crosstown Dr
Peachtree City, GA 30269-2915
Phone (770) 336-6546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIRO09652GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
GHM Partners, LLC Chiropractor Past Accepting new patients

Organizations & group practices 2

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": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1124579826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 BARTLETT DR",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302772026",
            "telephone_number": "770-668-3115",
            "fax_number": "770-336-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 CROSSTOWN DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302692915",
            "telephone_number": "770-668-3115",
            "fax_number": "770-336-6393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3339 Highway 34 E Ste C",
            "address_purpose": "LOCATION",
            "city": "Sharpsburg",
            "state": "GA",
            "postal_code": "302773565",
            "country_code": "US",
            "telephone_number": "770-252-1848",
            "fax_number": "770-252-1807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMER",
        "first_name": "BRYAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-18",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09652",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.