Active NPI
Randy Hamill, MD
- Anatomic Pathology & Clinical Pathology Physician
- Dalton, GA
National Provider Identifier
1700865110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036168
- Practice address
- 1200 Memorial Dr
Dalton, GA 30720-2529 - Phone
- (706) 272-6000
- NPI assigned
- Jan 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036168 | GA | Primary |
Addresses
Primary practice location
1200 Memorial Dr
Dalton, GA 30720-2529
Mailing address
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Phone (706) 787-4631
Other practice location 1
300 W Hospital Rd
Fort Gordon, GA 30905-5741
Phone (706) 787-4631
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52140518 | Other | GA | BCBS |
| 338033 | Other | GA | WELLCARE |
| 588983363A | Medicaid | GA | |
| 10058442 | Other | GA | AMERIGROUP |
| 581446543 | Other | GA | TRICARE |
| G36168 | Medicaid | GA |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Tennessee, HSC, College of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Laboratory Medicine, PC
Practice addresses (Care Compare)
1200 Memorial Dr
Dalton, GA 30720-2529
Phone (706) 272-6075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Blairsville, GA
- NPI 1255932828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1700865110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W HOSPITAL RD",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "309055741",
"telephone_number": "706-787-4631",
"fax_number": "706-787-4632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 MEMORIAL DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307202529",
"telephone_number": "706-272-6000"
}
],
"practiceLocations": [
{
"address_1": "300 W Hospital Rd",
"address_purpose": "LOCATION",
"city": "Fort Gordon",
"state": "GA",
"postal_code": "309055741",
"country_code": "US",
"telephone_number": "706-787-4631",
"fax_number": "706-787-4632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILL",
"first_name": "RANDY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "036168",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52140518",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "338033",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "588983363A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10058442",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "581446543",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G36168",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.