Individual provider Active NPI

Miller Carlton Hamrick, MD

  • Pediatric Surgery Physician
  • Savannah, GA
National Provider Identifier
1346393261
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
065671 Issued in GA
Practice address
4750 Waters Ave Ste 307
Savannah, GA 31404
Phone
(912) 350-7914
Fax
(912) 350-7973
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 065671 GA Primary

Addresses

Primary practice location

4750 Waters Ave Ste 307
Savannah, GA 31404

Mailing address

4750 Waters Ave Ste 307
Savannah, GA 31404-6268
Phone (912) 350-7914

Other practice location 1

4750 Waters Ave
Suite 307
Savannah, GA 31404-6200
Phone (912) 350-7914

Other identifiers 3

IdentifierTypeStateIssuer
GA1597MedicaidSC
003109566FMedicaidGA
P01292127OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20110628000346 GA Practitioner - General Surgery 4880872548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Mercer University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Pediatric Care LLCGroup PAC ID 8921353954, 8 clinicians

Practice addresses (Care Compare)

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-6543

4790 Waters Ave
Savannah, GA 31404-6220

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
065671GAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Pediatric Care, LLC CurrentSince Feb 1, 2018 Accepting new patients
Savannah Health Services, LLC Past Accepting new patients

Locations

4750 Waters Ave
Ste 307
Savannah, GA 31404
Phone (912) 350-3355

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1346393261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 307",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046268",
            "telephone_number": "912-350-7914",
            "fax_number": "912-350-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 307",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-350-7914",
            "fax_number": "912-350-7973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4750 Waters Ave",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046200",
            "country_code": "US",
            "telephone_number": "912-350-7914",
            "fax_number": "912-350-7973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "MILLER",
        "middle_name": "CARLTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "GA",
            "license": "065671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA1597",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109566F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01292127",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.