Individual provider Active NPI

Benjamin Craig Hamilton, M.D.

  • Family Medicine Physician
  • Corryton, TN
National Provider Identifier
1497948277
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD43636 Issued in TN
Practice address
6105 Maloneyville Rd
Corryton, TN 37721-3721
Phone
(865) 567-9449
NPI assigned
Aug 24, 2007
Last updated
Sep 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD43636 TN Primary

Addresses

Primary practice location

6105 Maloneyville Rd
Corryton, TN 37721-3721

Mailing address

6105 Maloneyville Rd
Corryton, TN 37721-3721
Phone (865) 567-9449

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
MD43636TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Primary Care Center, Inc Past Accepting new patients
Apogee Medical Group, Tennessee, P.C. PastSince Oct 8, 2023 Accepting new patients
Emcare Physician Providers Inc. Past Accepting new patients

Organizations & group practices 3

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1497948277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6105 MALONEYVILLE RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213721",
            "telephone_number": "865-567-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 MALONEYVILLE RD",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377213721",
            "telephone_number": "865-567-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "BENJAMIN",
        "middle_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD43636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corryton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.