Individual provider Active NPI

Patrick Farrell Hammen, M.D.

  • Colon & Rectal Surgery Physician
  • Smyrna, GA
National Provider Identifier
1164461505
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
043383 Issued in GA
Practice address
4441 Atlanta Rd SE Ste 312
Smyrna, GA 30080
Phone
(470) 956-4200
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 043383 GA Primary

Addresses

Primary practice location

4441 Atlanta Rd SE Ste 312
Smyrna, GA 30080

Mailing address

4441 Atlanta Rd SE Ste 312
Smyrna, GA 30080-6443
Phone (470) 956-4200

Other practice location 1

4750 Waters Ave
Suite 103
Savannah, GA 31404-6200
Phone (912) 350-8712

Other practice location 2

4750 Waters Ave
Suite 103
Savannah, GA 31404-6200
Phone (912) 350-8712

Other identifiers 7

IdentifierTypeStateIssuer
000791392AMedicaidGA
G43383MedicaidSC
10065608OtherGAAMERIGROUP
280000998OtherGARAILROAD MEDICARE
000791392CMedicaidGA
000791392BMedicaidGA
349778OtherGAWELLCARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address phammen175511@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050426001252 GA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 1153360433 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Mercer University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

4441 Atlanta Rd SE
Suite 312
Smyrna, GA 30080-6537
Phone (470) 956-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Jul 23, 2018 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 23, 2018 Accepting new patients
MPPG, Inc. Colon & Rectal Surgery Current Accepting new patients
Georgia Nasal & Sinus Institute, PC PastSince Sep 1, 2017 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4750 Waters Ave
Ste 103
Savannah, GA 31404
Phone (912) 350-2299

4441 Atlanta Rd SE
Ste 312
Smyrna, GA 30080
Phone (470) 956-4200

Interoperability endpoints

  • Direct secure messaging: phammen175511@directwellstar.org

Organizations & group practices 5

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 2

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1164461505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 312",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806443",
            "telephone_number": "470-956-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE STE 312",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "470-956-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Waters Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046200",
            "country_code": "US",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4750 Waters Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046200",
            "country_code": "US",
            "telephone_number": "912-350-8712",
            "fax_number": "912-350-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMEN",
        "first_name": "PATRICK",
        "middle_name": "FARRELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "043383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791392A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G43383",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10065608",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "280000998",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791392C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000791392B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "349778",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phammen175511@directwellstar.org",
            "affiliation": "N",
            "address_1": "4441 Atlanta Rd SE Ste 312",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300806443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.