Active NPI
Robert Walter Hamm, M.D.
- Psychiatry Physician
- Paris, TN
National Provider Identifier
1700067642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 47961
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q001067 | Medicaid | TN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New 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.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1407244171
-
dba Life Management Center of Northwest Florida Inc
- Psychiatry Physician
- Marianna, FL
- NPI 1255367579
-
- Psychiatry Physician
- Port St Joe, FL
- NPI 1316977515
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.