Glynco Medical Solutions

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

049021 Issued in GA

Legal business name

GLYNCO MEDICAL SOLUTIONS

Practice address

220 Medinah
Saint Simons Island, GA 31522-2419

Phone

(912) 223-9268

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Michael Kevin Hamm, D.O.

Title

Ceo

Phone

(912) 223-9268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1699178798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MEDINAH",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222419",
            "telephone_number": "912-223-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MEDINAH",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222419",
            "telephone_number": "912-223-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNCO MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-223-9268",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "049021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy LLC
• Georgia Dental Affiliates, LLC
• Dakota Gette, D.C.
• Michael Jerome Gilliard II, LPC, NCC
• Laura L. Glazier, D.P.T.
• Glynn County Healthcare, LLC
• Golden Isles Center for Plastic Surgery Inc
• Golden Isles Endodontics, LLC
• Golden Isles Medical LLC
• Golden Isles Vein Institute PC

• Multi-Specialty Clinic/Center in Saint Simons Island, GA
• Providers in Saint Simons Island, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.