Andrew Jackson Hamilton Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12252 Issued in GA

Practice address

1108 Fetner Dr
Americus, GA 31709-3774

Phone

(229) 924-4479

Fax

(229) 924-4479

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Jessica S Brown DMD LLC

  • Dental Clinic/Center
  • Americus, GA
  • NPI 1417528761
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417166174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 FETNER DR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093774",
            "telephone_number": "229-924-4479",
            "fax_number": "229-924-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 FETNER DR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093774",
            "telephone_number": "229-924-4479",
            "fax_number": "229-924-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ANDREW",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "12252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Strange Hall, M.D.
• Derek Hall
• Sharon L Hall, FNP-C
• Tracy Kathleen Hall, MFT
• Marshanda Carrie Hamilton-Holmes
• Kaylan Hand
• Hannah'S Joy LLC
• Timothy J Hardie
• Jerome Harmon
• Maci Lenora Harmon, LMSW

• All providers in Americus, GA
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.