Individual provider Active NPI

Daniel Hamilton

  • Mental Health Counselor
  • Bainbridge, GA
National Provider Identifier
1457708190
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC015112 Issued in GA
Practice address
260A Whigham Dairy Rd
Bainbridge, GA 39817-8032
Phone
(229) 329-1277
Fax
(323) 792-8177
NPI assigned
May 23, 2016
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC015112 GA Primary

Addresses

Primary practice location

260A Whigham Dairy Rd
Bainbridge, GA 39817-8032

Mailing address

1224 Vada Rd
Bainbridge, GA 39817-8361
Phone (423) 742-1432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318002625 GA Practitioner - Mental Health Counselor 2365964442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Forward Therapeutic Services LLC Mental Health CurrentSince Sep 28, 2024 Accepting new patients

Locations

260A Whigham Dairy Rd
Bainbridge, GA 39817
Phone (229) 329-1277

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1457708190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 VADA RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398178361",
            "telephone_number": "423-742-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260A WHIGHAM DAIRY RD",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398178032",
            "telephone_number": "229-329-1277",
            "fax_number": "323-792-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC015112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.