Individual provider Active NPI

Holly Nicole Hamil, DO

  • Family Medicine Physician
  • Oak Ridge, TN
National Provider Identifier
1679007439
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5960 Issued in TN
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q098209MedicaidTN

Other names 1

  • Holly Nicole Lynch Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Hamil.holly@covenanthealth.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200803001113 GA Practitioner - Family Practice 1557636578 Reassigns benefits to 1 organization
I20250128003953 TN Practitioner - Family Practice 1557636578 Reassigns benefits to 1 organization

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
Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

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

LicenseStateTypeSpecialty
86086GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Aug 3, 2020 Accepting new patients
Covenant Medical Group, Inc. Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Hamilton Medical Center, Inc. CurrentSince May 26, 2021 Accepting new patients
Covenant Medical Group, Inc CurrentSince Feb 1, 2025 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

  • Direct secure messaging: hamil.holly@covenanthealth.cernerdirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.