Active NPI
Hamilton Mill Healthcare Group LLC
Doing business as Optimum Health of Hamilton Mill
- General Practice Physician
- Suwanee, GA
National Provider Identifier
1316324221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- HAMILTON MILL HEALTHCARE GROUP LLC
- Doing business as
- Optimum Health of Hamilton Mill
- Practice address
- 2133 Hwy 317
Suite 12-318
Suwanee, GA 30024-2649 - Phone
- (678) 546-8044
- Fax
- (678) 546-8047
- NPI assigned
- Apr 29, 2015
- Last updated
- Apr 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Shelton
- Title
- Operation Manager
- Phone
- (678) 730-6240
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X |
Addresses
Primary practice location
2133 Hwy 317
Suite 12-318
Suwanee, GA 30024-2649
Mailing address
2085 Hamilton Creek Parkway
Suite 106
Dacula, GA 30019-5402
Phone (678) 546-8044
Other names 1
- Optimum Health of Hamilton Mill
National Provider Directory
National Provider DirectoryLocations
2085 Hamilton Creek Pkwy
Ste 106
Dacula, GA 30019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460332800000",
"number": "1316324221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 HAMILTON CREEK PARKWAY",
"address_2": "SUITE 106",
"city": "DACULA",
"state": "GA",
"postal_code": "300195402",
"telephone_number": "678-546-8044",
"fax_number": "678-546-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2133 HWY 317",
"address_2": "SUITE 12-318",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242649",
"telephone_number": "678-546-8044",
"fax_number": "678-546-8047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMILTON MILL HEALTHCARE GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-29",
"last_updated": "2016-04-11",
"status": "A",
"authorized_official_last_name": "SHELTON",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OPERATION MANAGER",
"authorized_official_telephone_number": "678-730-6240"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optimum Health of Hamilton Mill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.