Organization Active NPI

Hamilton Family Medicine, PLLC

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1366940538
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAMILTON FAMILY MEDICINE, PLLC
Practice address
2290 Ogletree Ave
Chattanooga, TN 37421-8816
Phone
(423) 643-3772
Fax
(423) 643-3773
NPI assigned
Jan 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Synthia L. Beeler, MDNPI 1154325934
Title
Owner
Phone
(423) 643-3772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2290 Ogletree Ave
Chattanooga, TN 37421-8816

Mailing address

PO Box 1391
Columbus, GA 31901-1391
Phone (865) 670-6199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180718000061 TN Part B Supplier - Clinic/Group Practice 1951658236 Receives reassigned benefits from 1 practitioner
Practice locations: Chattanooga, TN

National Provider Directory

National Provider Directory

Locations

2290 Ogletree Ave
Ste 102
Chattanooga, TN 37421
Phone (423) 643-3772

2290 Ogletree Ave
Chattanooga, TN 37421
Phone (423) 643-3772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1366940538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1391",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011391",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 OGLETREE AVE",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218816",
            "telephone_number": "423-643-3772",
            "fax_number": "423-643-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BEELER",
        "authorized_official_first_name": "SYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-643-3772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.