Individual provider Active NPI

Jonathan Paul Hamilton, MD

  • Family Medicine Physician
  • Louisville, MS
National Provider Identifier
1376284794
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31818 Issued in MS
Practice address
16569 W Main St
Louisville, MS 39339-2647
Phone
(662) 773-5704
Fax
(662) 773-9463
NPI assigned
Apr 7, 2022
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31818 MS Primary

Addresses

Primary practice location

16569 W Main St
Louisville, MS 39339-2647

Mailing address

PO Box 470
Louisville, MS 39339-0470
Phone (662) 773-5704

Other identifiers 1

IdentifierTypeStateIssuer
2000021849MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20250728003513 MS Practitioner - Family Practice 5698158004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winston Medical Clinic LLCGroup PAC ID 7214170968, 11 clinicians

Practice addresses (Care Compare)

90 E Main St
Noxapater, MS 39346-2610
Phone (662) 446-1222

PO Box
Suite 470
Louisville, MS 39339

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31818MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ard Medical Clinic PLLC Current Accepting new patients
Winston Medical Clinic LLC CurrentSince Jul 1, 2025 Accepting new patients
Winston Medical Clinic LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

16569 W Main St
Louisville, MS 39339
Phone (662) 773-5704

Interoperability endpoints

  • Direct secure messaging: jonathan.hamilton.1@15070.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1376284794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393390470",
            "telephone_number": "662-773-5704",
            "fax_number": "662-773-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16569 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392647",
            "telephone_number": "662-773-5704",
            "fax_number": "662-773-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JONATHAN",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "31818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000021849",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, MS

Sources for this page

Verify at the official NPI Registry.