Individual provider Active NPI

Tiffani K Hamilton, MD

  • Dermatology Physician
  • Alpharetta, GA
National Provider Identifier
1710931027
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
045491 Issued in GA
Practice address
11800 Atlantis PL
Alpharetta, GA 30022-1160
Phone
(770) 360-8881
Fax
(770) 255-2533
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 045491 GA Primary
MOHS-Micrographic Surgery Physician 207ND0101X 045491 GA
Dermatopathology Physician 207ND0900X 045491 GA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 045491 GA
Procedural Dermatology Physician 207NS0135X 045491 GA

Addresses

Primary practice location

11800 Atlantis PL
Alpharetta, GA 30022-1160

Mailing address

11800 Atlantis PL
Alpharetta, GA 30022-1160
Phone (770) 360-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000753 GA Practitioner - DermatologyPractitioner - General Surgery 4082793385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: General Surgery
Education
University of Utah School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Dermatology, Vein and Research Center, LLCGroup PAC ID 0143214783, 2 clinicians

Practice addresses (Care Compare)

11800 Atlantis PL
Alpharetta, GA 30022-1160
Phone (770) 360-8881

Merit-based Incentive Payment System (MIPS)

Final score
75.62 of 100Reported as individual
Quality
57.31
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision64
Removal of skin lesions1274
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy280

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Dermatology, Vein & Research Center, LLC Dermatology CurrentSince Feb 1, 2001 Accepting new patients
Sentry Anesthesia Management, LLC Past Accepting new patients

Locations

11800 Atlantis Pl
Alpharetta, GA 30022
Phone (770) 360-8881

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1710931027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 ATLANTIS PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221160",
            "telephone_number": "770-360-8881",
            "fax_number": "770-255-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 ATLANTIS PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221160",
            "telephone_number": "770-360-8881",
            "fax_number": "770-255-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "TIFFANI",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "045491",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "045491",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "GA",
            "license": "045491",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "GA",
            "license": "045491",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "045491",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.