Active NPI
Holly Nicole Hamil, DO
- Family Medicine Physician
- Oak Ridge, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5960
- Practice address
- 200 New York Ave Ste 150
Oak Ridge, TN 37830-5227 - Phone
- (865) 835-5850
- Fax
- (865) 374-1115
- NPI assigned
- Apr 18, 2017
- Last updated
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 86086 | GA | |
| Family Medicine Physician | 207Q00000X | 5960 | TN | Primary |
Addresses
Primary practice location
200 New York Ave Ste 150
Oak Ridge, TN 37830-5227
Mailing address
3957 Cleveland Hwy Ste B
Dalton, GA 30721-2052
Phone (706) 852-2374
Other practice location 1
800 Gi Maddox Pkwy
Chatsworth, GA 30705-4008
Phone (706) 695-1992
Other practice location 2
3957 Cleveland Hwy Ste B
Dalton, GA 30721-2052
Phone (706) 852-2374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q098209 | Medicaid | TN |
Other names 1
- Holly Nicole Lynch
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Hamil.holly@covenanthealth.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 New York Ave
Suite 150
Oak Ridge, TN 37830-5227
Phone (865) 835-5850
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86086 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hamilton Physician Group Inc | Current | Accepting new patients | |
| Covenant Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Hamilton Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Group, Inc | Current | Accepting new patients |
Locations
800 Gi Maddox Pkwy
Chatsworth, GA 30705
Phone (706) 686-8015
1436 Broadrick Dr
Ste B
Dalton, GA 30720
Phone (706) 226-3434
3957 Cleveland Hwy
#B
Dalton, GA 30721
Phone (706) 694-4600
Dept 888179
Knoxville, TN 37995
111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554
200 New York Ave
Ste 150
Oak Ridge, TN 37830
Phone (865) 481-0200
Interoperability endpoints
- hamil.holly@covenanthealth.cernerdirect.com
- holly.lynch.1@15130.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1457302010
-
- Cardiovascular Disease Physician
- Dalton, GA
- NPI 1235455569
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1871269415
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Ridge, TN
- NPI 1700870672
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1679007439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3957 CLEVELAND HWY STE B",
"city": "DALTON",
"state": "GA",
"postal_code": "307212052",
"telephone_number": "706-852-2374",
"fax_number": "706-852-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NEW YORK AVE STE 150",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378305227",
"telephone_number": "865-835-5850",
"fax_number": "865-374-1115"
}
],
"practiceLocations": [
{
"address_1": "800 Gi Maddox Pkwy",
"address_purpose": "LOCATION",
"city": "Chatsworth",
"state": "GA",
"postal_code": "307054008",
"country_code": "US",
"telephone_number": "706-695-1992",
"fax_number": "866-348-6516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3957 Cleveland Hwy Ste B",
"address_purpose": "LOCATION",
"city": "Dalton",
"state": "GA",
"postal_code": "307212052",
"country_code": "US",
"telephone_number": "706-852-2374",
"fax_number": "706-852-2375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMIL",
"first_name": "HOLLY",
"middle_name": "NICOLE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-18",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "86086",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "5960",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q098209",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Hamil.holly@covenanthealth.cernerdirect.com",
"affiliation": "N",
"address_1": "200 New York Ave Ste 150",
"city": "Oak Ridge",
"state": "TN",
"country_code": "US",
"postal_code": "378305227",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "LYNCH",
"middle_name": "NICOLE",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.