Individual provider Active NPI

Emmanuel Hamelin, DO

  • General Practice Dentistry
  • Augusta, GA
National Provider Identifier
1720974033
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24414 Issued in GA
Practice address
320 E. Hospital Road Fort Eisenhower
Augusta, GA 30905
Phone
(706) 787-5102
NPI assigned
Jun 13, 2025
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24414 GA Primary

Addresses

Primary practice location

320 E. Hospital Road Fort Eisenhower
Augusta, GA 30905

Mailing address

1400 Pointe Grand Dr # 3101
Augusta, GA 30909-4864
Phone (418) 271-9324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
24414GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1720974033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 POINTE GRAND DR # 3101",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094864",
            "telephone_number": "418-271-9324",
            "fax_number": "418-271-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E. HOSPITAL ROAD FORT EISENHOWER",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMELIN",
        "first_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "24414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.