Individual provider Active NPI

John Charles Hammond

  • Psychiatry Physician
  • Birmingham, AL
National Provider Identifier
1154766905
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33652 Issued in AL
Practice address
4984 Overton Rd
Birmingham, AL 35210
Phone
(205) 768-5558
NPI assigned
May 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 33652 AL Primary

Addresses

Primary practice location

4984 Overton Rd
Birmingham, AL 35210

Mailing address

4984 Overton Rd
Birmingham, AL 35210-3807

Other practice location 1

625 19th St S
Birmingham, AL 35294-0018
Phone (205) 934-3130

Other practice location 2

625 19th St S
Birmingham, AL 35294-0018
Phone (205) 934-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, MS3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190729003496 AL Practitioner - Psychiatry 9335389071 Reassigns benefits to 2 organizations
I20200512003083 TN Practitioner - Psychiatry 9335389071 Reassigns benefits to 1 organization
I20240723000798 MS Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9335389071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University of Alabama School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, shared by 6 NPIs, 66 clinicians
Integrated Behavioral Health IncGroup PAC ID 7416194113, 109 clinicians

Practice addresses (Care Compare)

15225 Hwy 43
Russellville, AL 35653-1969
Phone (256) 331-2700

600 Sun Temple Dr
Madison, AL 35758-8643
Phone (256) 288-3333

8905 Ocean Springs Rd
Ocean Springs, MS 39564-4421
Phone (256) 288-3333

Hospital & facility affiliations

  • Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc CurrentSince Jun 1, 2020 Accepting new patients
Russellville Hospital Inc CurrentSince Jun 1, 2020 Accepting new patients
Integrated Behavioral Health, Inc. Psychiatry CurrentSince Jul 1, 2019 Accepting new patients
HH Health System - Dekalb, LLC Past Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
Iop Behavioral Health, LLC PastSince Sep 25, 2019 Accepting new patients
HH Health System - Dekalb, LLC Past Accepting new patients

Locations

4984 Overton Rd
Birmingham, AL 35210
Phone (205) 768-5558

1615 Kathy Ln SW
Ste 102
Decatur, AL 35603
Phone (256) 686-4441

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

600 Sun Temple Dr
Madison, AL 35758
Phone (256) 325-2627

1800 Beverly Ave
Muscle Shoals, AL 35661
Phone (256) 320-7475

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

60139 Cotton Gin Port Rd
Amory, MS 38821
Phone (662) 256-8406

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

25850 Main St
Ardmore, TN 38449
Phone (931) 427-4050

101 Ivy Ln
Pulaski, TN 38478
Phone (931) 363-3633

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1154766905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4984 OVERTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352103807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4984 OVERTON RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35210",
            "telephone_number": "205-768-5558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352940018",
            "country_code": "US",
            "telephone_number": "205-934-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352940018",
            "country_code": "US",
            "telephone_number": "205-934-3130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "33652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.