Individual provider Active NPI

Robert Walter Hamm, M.D.

  • Psychiatry Physician
  • Paris, TN
National Provider Identifier
1700067642
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47961 Issued in TN
Practice address
300 Hospital Cir
Ste. 202
Paris, TN 38242-4504
Phone
(731) 644-8441
Fax
(731) 644-8442
NPI assigned
Nov 20, 2007
Last updated
Dec 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 296715 NY
Psychiatry Physician 2084P0800X 47961 TN Primary

Addresses

Primary practice location

300 Hospital Cir
Ste. 202
Paris, TN 38242-4504

Mailing address

300 Hospital Cir
Ste. 202
Paris, TN 38242-4504
Phone (731) 644-8441

Other practice location 1

3 Mercycare Ln
Guilderland, NY 12084-3504
Phone (518) 452-6700

Other identifiers 1

IdentifierTypeStateIssuer
Q001067MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Life Management of NW FL, Inc. Psychiatry Past Accepting new patients
Life Management of NW FL, Inc. Psychiatry Past Accepting new patients
Bethesda Health Services, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1700067642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL CIR",
            "address_2": "STE. 202",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424504",
            "telephone_number": "731-644-8441",
            "fax_number": "731-644-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL CIR",
            "address_2": "STE. 202",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424504",
            "telephone_number": "731-644-8441",
            "fax_number": "731-644-8442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Mercycare Ln",
            "address_purpose": "LOCATION",
            "city": "Guilderland",
            "state": "NY",
            "postal_code": "120843504",
            "country_code": "US",
            "telephone_number": "518-452-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMM",
        "first_name": "ROBERT",
        "middle_name": "WALTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "296715",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "47961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001067",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.