Individual provider Active NPI

Andredell Hammond, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1477582658
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
046112 Issued in GA
Practice address
5671 Peachtree Dunwoody Rd NE
Ste275
Atlanta, GA 30342-5000
Phone
(404) 851-7990
Fax
(404) 851-4969
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D82484 MD
Internal Medicine Physician 207R00000X 046112 GA Primary

Addresses

Primary practice location

5671 Peachtree Dunwoody Rd NE
Ste275
Atlanta, GA 30342-5000

Mailing address

PO Box 52007
Atlanta, GA 30355-0007
Phone (678) 397-0060

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

LicenseStateTypeSpecialty
046112GAMDInternal Medicine Physician
D82484MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JW Medical Care, LLC Past Accepting new patients
Redmond Hospital Services LLC Past Accepting new patients
Georgia Inpatient Medicine Associates, LLC Internal Medicine Past Accepting new patients
South Dekalb Family Physicians, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1477582658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52007",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303550007",
            "telephone_number": "678-397-0060",
            "fax_number": "678-397-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425000",
            "telephone_number": "404-851-7990",
            "fax_number": "404-851-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "ANDREDELL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D82484",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "046112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.