Individual provider Active NPI

Job Lambeth Hammond IV, CRNA

  • Certified Registered Nurse Anesthetist
  • Alexandria, LA
National Provider Identifier
1295728020
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
7035 Issued in NC
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 448-4440
Fax
(318) 473-4340
NPI assigned
Aug 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN102466 LA
Certified Registered Nurse Anesthetist 367500000X 7035 NC Primary

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

211 4TH St
Box 30135
Alexandria, LA 71301-8421
Phone (318) 448-4440

Other identifiers 2

IdentifierTypeStateIssuer
430074757OtherRAILROAD MEDICARE
1124079MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111206000743 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860686433 Reassigns benefits to 1 organization
I20230705003169 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2860686433 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Novant Health Matthews Medical Center LLCGroup PAC ID 6406845247, 76 clinicians
The Presbyterian HospitalGroup PAC ID 1153231907, 412 clinicians

Practice addresses (Care Compare)

1500 Matthews Township Pkwy
Matthews, NC 28105-4656
Phone (704) 384-6500

200 Hawthorne LN
Charlotte, NC 28204-2515
Phone (704) 384-9073

Hospital & facility affiliations

  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN102466LAMDCertified Registered Nurse Anesthetist
7035NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Current Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Aug 14, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 14, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Rowan Regional Medical Center CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
The Presbyterian Hospital CurrentSince Aug 14, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 14, 2023 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Jul 17, 2023 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 14, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince Aug 14, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Mother Frances Hospital Regional Health Care Center CurrentSince Nov 7, 2011 Accepting new patients
Medical Park Hospital LLC CurrentSince Aug 14, 2023 Accepting new patients
Medical Park Hospital LLC CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 14, 2023 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Aug 14, 2023 Accepting new patients
Melanie C. Firmin, MD Apmc Past Accepting new patients
Mid-Louisiana Anesthesia Consultants, Apmc PastSince Jul 1, 1995 Accepting new patients
Professional Anesthesia Consultants, LLP Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Organizations & group practices 31

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.

View all 31

Hospital & facility affiliations 5

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1295728020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "address_2": "BOX 30135",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-448-4440",
            "fax_number": "318-473-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-448-4440",
            "fax_number": "318-473-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "JOB",
        "middle_name": "LAMBETH",
        "name_suffix": "IV",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN102466",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "7035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430074757",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124079",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.