Hamilton Physician Group Inc
Organization Active NPI Cardiovascular Disease Physician · Dalton, GA
NPI 1235455569 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1235455569
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- HAMILTON PHYSICIAN GROUP INC
- Practice address
- 1107 Memorial Dr Ste 302
Dalton, GA 30720 - Phone
- (706) 529-6015
- Fax
- (706) 529-6017
- NPI assigned
- Apr 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Sandy McKenzie
- Title
- Executive V.P./Coo
- Phone
- (706) 272-6289
Owners & managing parties with NPI records 3
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 7
Member organizations 5
Practitioners 411
-
Selwin John Abraham, M.D.
-
Ahsan Nader Achtchi, D.O.
-
Umama Adil, MD
-
Shalaka Akolkar, DO
-
Mohammad Ali Al Azem, M.D.
-
Brandee K Albert, D.O.
-
Ginger Anderson, CCC-SLP
-
Timothy Mark Ashburn, M.D.
-
Secil Aydinoz, MD
-
Victoria Rose Brock, FNP-C
-
Cynthia W Brown, M.D.
-
Megan Potts Brown, M.D.
-
Joy Bruner, FNP-C, MSN, ASN, RN
-
Kasey Buchanan, RN
-
Jessica Cabrera, APRN
-
Bryan D. Cheever, M.D.
-
Holly Michelle Cochran, FNP-C
-
Hugh M. Coke III, MD
-
Lee Connor, M.D.
Affiliated clinicians 477
-
Pamela S Abernathy, FNP-C
-
Selwin John Abraham, M.D.
-
Ahsan Nader Achtchi, D.O.
-
Matthew Jonathan Adams, FNP-BC
-
Umama Adil, MD
-
Ezad N Ahmad, M.D.
-
Muhammad Khaleeq Ahmed, MBBS
-
Saresh Akmal, MD
-
Shalaka Akolkar, DO
-
Mohammad Ali Al Azem, M.D.
-
Brandee K Albert, D.O.
-
Guimy Alexis, M.D.
-
Arif N. Ali, M.D.
-
Jennifer Lee Allen, CRNA
-
Josie Christine Anderson, PA-C
-
Merri Anderson, CRNA
-
John S Antalis, M.D.
-
Karyn L. Apone, APRN
-
Timothy Mark Ashburn, M.D.
-
Steven K Austin, M.D.
-
Secil Aydinoz, MD
-
Amanda Bailey, APRN
-
Kimberly Bailey, AGPCNP-C
Medicare Care Compare: Hospital
- Listed as
- Hamilton Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- No
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1024680 | Hamilton Physician Group | Certificate of waiver | Nov 12, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in GA, TN
Hospital certification: CCN 110001
- Legal name
- HAMILTON MEDICAL CENTER, INC
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Apr 7, 2025
- Beds
- 282
- Ownership / control type
- Private (not for profit)
- Most recent change of ownership
- Sep 30, 1996 (1 total)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 26, 1982 in GA
- Enrollment address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Hospital subgroups
- General, Acute care, Psychiatric unit
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Robert Brooker |
Corporate Director | Nov 6, 2007 | |
| Hamilton Medical Center, Inc |
5% Or Greater Direct Ownership Interest | Sep 30, 1996 | |
| Operational/Managerial Control | Nov 6, 2007 | ||
| Robert Hubbs |
Corporate Director | Nov 6, 2007 | |
| Robert Chandler |
Corporate Director | Nov 6, 2007 | |
| Randall Foster |
Corporate Director | Jun 13, 2019 | |
| W-2 Managing Employee | May 12, 1986 | ||
| Yvette Lee |
W-2 Managing Employee | Oct 3, 2016 | |
| Jonathan David Gregg |
Corporate Director | Jul 1, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041119001024 | GA | Part a Provider - Hospital | 0446151179 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dalton, GA; Ringgold, GA; Chatsworth, GA |
| O20100831000467 | GA | Part B Supplier - Clinic/Group Practice | 4789708553 |
Receives reassigned benefits from 182 practitioners Practice locations: Ringgold, GA; Dalton, GA; Calhoun, GA; Chatsworth, GA |
| O20111021000088 | TN | Part B Supplier - Clinic/Group Practice | 4789708553 |
Receives reassigned benefits from 11 practitioners Practice locations: Chattanooga, TN; Cleveland, TN |
National Provider Directory
- Tax ID family
- Dalton-Whitfield Co Hos
Locations
215 Curtis Pkwy NE
Calhoun, GA 30701
Phone (706) 226-3434
160 Curtis Pkwy NE
Ste B
Calhoun, GA 30701
Phone (706) 529-3025
100 Willowbrook Way SE
Calhoun, GA 30701
Phone (706) 509-8251
111 Laurel Creek Rd SE
#B
Calhoun, GA 30701
Phone (706) 625-1574
407 2nd Ave
Calhoun, GA 30701
Phone (706) 403-4613
1107 Memorial Dr
Dalton, GA 30720
Phone (706) 217-6950
1107 Memorial Dr
Ste 100
Dalton, GA 30720
Phone (706) 529-3072
1506 Broadrick Dr
Dalton, GA 30720
Phone (706) 278-3430
1107 Memorial Dr
Ste G3
Dalton, GA 30720
Phone (706) 259-7072
475 Reed Rd
Ste 104
Dalton, GA 30720
Phone (706) 278-1622
1243 Broadrick Dr
Ste A
Dalton, GA 30720
Phone (706) 275-6121
475 Reed Rd
Ste 405
Dalton, GA 30720
Phone (706) 278-1622
1107 Memorial Dr
Ste 200
Dalton, GA 30720
Phone (706) 226-9355
1503 Professional Ct
Dalton, GA 30720
Phone (706) 281-2121
1107 Memorial Dr
#302
Dalton, GA 30720
Phone (706) 529-8710
1505 Professional Ct
Dalton, GA 30720
Phone (706) 259-6882
3957 Cleveland Hwy
Dalton, GA 30721
Phone (706) 529-3245
1107 Memorial Dr
Ste 302
Dalton, GA 30720
Phone (706) 529-6015
3957 Cleveland Hwy
#B
Dalton, GA 30721
Phone (706) 694-4600
4635 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 259-3336
45 College Park Dr
Ringgold, GA 30736
Phone (706) 965-4060
45 College Park Dr
Ste A
Ringgold, GA 30736
Phone (706) 529-7440
2414 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 250-5864
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
1107 Memorial Dr Ste 302
Dalton, GA 30720
Mailing address
PO Box 1587
Dalton, GA 30722-1587
Phone (706) 529-7440
Other providers in Dalton, GA
- Hamilton Medical Center, Inc
- Hamilton Medical Center, Inc.
- Hamilton Medical Center, Inc.
- Hamilton Medical Center, Inc.
- Hamilton Orthopedic Surgery Center, LLC
- Ian N Hamilton Jr.
- Amy Hamlin
- Shasheeta Youlanda Hammond
- Shelley B Hankins
- Ann Elizabeth Hannah
All providers in Dalton, GA · Cardiovascular Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.