Individual provider Active NPI

Miles Daniel Hamm, PA-C

  • Physician Assistant
  • Clermont, FL
National Provider Identifier
1205564960
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9116232 Issued in FL
Practice address
1745 E Hwy 50 Ste B1
Clermont, FL 34711-5190
Phone
(407) 226-3733
Fax
(407) 226-3734
NPI assigned
Aug 10, 2022
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9116232 FL Primary

Addresses

Primary practice location

1745 E Hwy 50 Ste B1
Clermont, FL 34711-5190

Mailing address

1745 E Hwy 50 Ste B1
Clermont, FL 34711-5190
Phone (352) 404-8428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211003478 FL Practitioner - Physician Assistant 5395271506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9116232FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: miles.hamm.1@22553.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1205564960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 E HWY 50 STE B1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115190",
            "telephone_number": "352-404-8428",
            "fax_number": "866-984-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 E HWY 50 STE B1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115190",
            "telephone_number": "407-226-3733",
            "fax_number": "407-226-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "MILES",
        "middle_name": "DANIEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9116232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.