Active NPI
Justin Alexander Hamilton, M.D.
- Emergency Medicine Physician
- Fort Campbell, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 50374
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223-5318 - Phone
- (270) 798-8500
- NPI assigned
- May 27, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 50374 | TN | Primary |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Mailing address
2020 21St Ave S Ste 201
Nashville, TN 37212-4354
Phone (615) 269-0652
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Indiana University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
520 W Main St
Smithville, TN 37166-1138
Phone (615) 215-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50374 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Middle Tennessee Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Montgomery County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
1 Medical Park Blvd
Ste 210E
Bristol, TN 37620
Phone (423) 224-4000
651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000
907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818
2000 Church St
Nashville, TN 37236
Phone (615) 284-4672
520 W Main St
Smithville, TN 37166
Phone (615) 215-5000
1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000
401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Emergency Medicine Physician
- Clarksville, TN
- NPI 1336166388
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sparta, TN
- NPI 1922487966
-
- General Acute Care Hospital
- McMinnville, TN
- NPI 1518346469
-
- Ambulatory Surgical Clinic/Center
- McMinnville, TN
- NPI 1558742304
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1376862516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 21ST AVE S STE 201",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372124354",
"telephone_number": "615-269-0652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-798-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JUSTIN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "50374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.