Clifton Ross Hamic, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.202754 Issued in LA

Practice address

8383 Millicent Way
Shreveport, LA 71115-5207

Phone

(318) 797-6661

Fax

(318) 795-8512

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Practice Associates ofGroup PAC ID 8628037603, 13 clinicians

Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cliftonhamic@tfd.allscriptsdirect.net

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.

• Family Practice Associates of

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1164443826
  Medicare reassignment Care Compare group NPD Authorized official
• Cornerstone Therapy and Balance Center, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Shreveport, LA
  • NPI 1659518041
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1245445980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 MILLICENT WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711155207",
            "telephone_number": "318-797-6661",
            "fax_number": "318-795-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 MILLICENT WAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711155207",
            "telephone_number": "318-797-6661",
            "fax_number": "318-795-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIC",
        "first_name": "CLIFTON",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.202754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roushanda Hallmon
• Kendra Womack Halsell, APRN
• Sarah C Hamauei, M.D.
• La Donna Rhnee Hambrick, GSW
• Ghassan Fouad Hamdan, RPH
• Mia Fanguy Hamic, PA
• Ashley Marie Hamil
• Janie Hamilton-Phillips
• Aleric Hamilton
• Bethany Marie Hamilton, MS, BCBA, LBA

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.