Active NPI
Jean Ann Hamilton, M.D.
- Psychosomatic Medicine Physician
- Durham, NC
National Provider Identifier
1376761866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 36194
- Practice address
- 2741 Campus Walk Ave
BLDG 500, Ste 110
Durham, NC 27705 - Phone
- (919) 225-8373
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 36194 | NC | Primary |
Addresses
Primary practice location
2741 Campus Walk Ave
BLDG 500, Ste 110
Durham, NC 27705
Mailing address
2741 Campus Walk Ave
BLDG 500, Ste 110
Durham, NC 27705
Phone (919) 225-8373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36194 | NC | MD | Psychosomatic Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Cares NV LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Santa Fe, NM
- NPI 1053632851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1376761866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 CAMPUS WALK AVE",
"address_2": "BLDG 500, STE 110",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-225-8373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 CAMPUS WALK AVE",
"address_2": "BLDG 500, STE 110",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "919-225-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JEAN",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NC",
"license": "36194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.