Organization Active NPI

Hamilton Mill Healthcare Group LLC

Doing business as Optimum Health of Hamilton Mill

  • General Practice Physician
  • Suwanee, GA
National Provider Identifier
1316324221
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.