Hamilton Mill Family Complete Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HAMILTON MILL FAMILY COMPLETE CARE

Practice address

3515 Braselton Hwy
BLDG. E-2
Dacula, GA 30019

Phone

(770) 614-6630

NPI assigned

Sep 11, 2013

Last updated

Dec 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Russell Glassman, D.C.NPI 1174642631

Title

Ceo/Owner

Phone

(770) 614-6630

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Hamilton Mill Family Complete Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hamilton Mill Family Complete Care, LLC

  • Internal Medicine Physician
  • Dacula, GA
  • NPI 1073881405
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russell Jon Glassman, D.C.

  • Chiropractor
  • Dacula, GA
  • NPI 1174642631
  NPD (past) Authorized official
• George Edward Berbessi, DC

  • Chiropractor
  • Watkinsville, GA
  • NPI 1619675261
  NPD (past)
• Rabia Lynne Vaughns, PA-C

  • Physician Assistant
  • Dacula, GA
  • NPI 1548440910
  NPD (past)

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1629403571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 BRASELTON HWY",
            "address_2": "BLDG. E-2",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 BRASELTON HWY",
            "address_2": "BLDG. E-2",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "30019",
            "telephone_number": "770-614-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MILL FAMILY COMPLETE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "GLASSMAN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "770-614-6630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Hamblin, PT, DPT
• Tamara Hambrick, LCSW
• Hamilton Mill Center for Oral & Maxillofacial Surgery, LLC
• Hamilton Mill Dental Center, LLC
• Hamilton Mill Family Chiropractic
• Hamilton Mill Family Complete Care, LLC
• Hamilton Mill Medical & Physical Therapy
• Hamilton Mill Medical Services, Inc.
• Hamilton Mill Oral and Facial Surgery, LLC
• Steven Robert Hammond, N.P.

• Family Nurse Practitioner in Dacula, GA
• Providers in Dacula, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.