Active NPI
Katie B Hamilton, PA-C
- Physician Assistant
- Jacksonville, TX
National Provider Identifier
1710319272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA08536
- Practice address
- 510 E Commerce St
Jacksonville, TX 75766-4910 - Phone
- (903) 541-2700
- Fax
- (903) 541-2705
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA08536 | TX | Primary |
Addresses
Primary practice location
510 E Commerce St
Jacksonville, TX 75766-4910
Mailing address
PO Box 844273
Dallas, TX 75284-4273
Phone (903) 535-9041
Other practice location 1
2323 W Front St
Tyler, TX 75702-7704
Phone (903) 597-1351
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Family Circle of Care | Past | Accepting new patients |
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.
-
dba Family Circle of Care
- Community/Retail Pharmacy
- Tyler, TX
- NPI 1942011903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1710319272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844273",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844273",
"telephone_number": "903-535-9041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E COMMERCE ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757664910",
"telephone_number": "903-541-2700",
"fax_number": "903-541-2705"
}
],
"practiceLocations": [
{
"address_1": "2323 W Front St",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757027704",
"country_code": "US",
"telephone_number": "903-597-1351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILTON",
"first_name": "KATIE",
"middle_name": "B",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA08536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.