Individual provider Active NPI

Larry Eugene Hamsley, NP

  • Family Nurse Practitioner
  • Montezuma, GA
National Provider Identifier
1619380003
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN207142 Issued in GA
Practice address
509 Sumter St
Montezuma, GA 31063-1733
Phone
(478) 472-3154
Fax
(478) 472-3251
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN207142 GA Primary

Addresses

Primary practice location

509 Sumter St
Montezuma, GA 31063-1733

Mailing address

509 Sumter St
Montezuma, GA 31063-1733
Phone (478) 472-3154

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622001977 GA Practitioner - Nurse Practitioner 8022235084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Healthcare InvestmentsGroup PAC ID 9830327972, 7 clinicians

Practice addresses (Care Compare)

509 Sumter St
Montezuma, GA 31063-1733
Phone (478) 472-3100

509 Sumter St
Montezuma, GA 31063-1734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare Investments CurrentSince May 1, 2016 Accepting new patients
Premier Healthcare Investments CurrentSince May 1, 2016 Accepting new patients
Macon County Convenient Care PastSince Jul 1, 2014 Accepting new patients

Locations

509 Sumter St
Montezuma, GA 31063
Phone (478) 472-2321

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1619380003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3154",
            "fax_number": "478-472-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SUMTER ST",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310631733",
            "telephone_number": "478-472-3154",
            "fax_number": "478-472-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMSLEY",
        "first_name": "LARRY",
        "middle_name": "EUGENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montezuma, GA

Sources for this page

Verify at the official NPI Registry.