Active NPI
Eddie D Hamilton, MD
- Pediatrics Physician
- Brentwood, TN
National Provider Identifier
1538153192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19089
- Practice address
- 343 Franklin Rd
Ste 210
Brentwood, TN 37027-5213 - Phone
- (615) 373-2248
- Fax
- (615) 373-5116
- NPI assigned
- Sep 9, 2005
- Last updated
- Jan 21, 2013
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19089 | TN | Primary |
Addresses
Primary practice location
343 Franklin Rd
Ste 210
Brentwood, TN 37027-5213
Mailing address
515 Stonecrest Pkwy
Ste 210
Smyrna, TN 37167-6826
Phone (615) 625-7112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3034011 | Medicaid | TN |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19089 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America Cares Trust, Inc | Pediatrics | Past | Accepting new patients |
| Centennial Pediatrics PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
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Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358726400000",
"number": "1538153192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 STONECREST PKWY",
"address_2": "STE 210",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371676826",
"telephone_number": "615-625-7112",
"fax_number": "615-625-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 FRANKLIN RD",
"address_2": "STE 210",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370275213",
"telephone_number": "615-373-2248",
"fax_number": "615-373-5116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "EDDIE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2013-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "19089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3034011",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.