Derrick R Hamilton, MD
Individual provider Active NPI Pediatrics Physician · Somerville, TN
NPI 1730189945 · NPPES record last updated Mar 12, 2026
Key facts
- NPI
- 1730189945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 38455 (TN)
- Practice address
- 201 Lakeview Rd Ste a
Somerville, TN 38068-9742 - Phone
- (901) 813-8861
- Fax
- (901) 813-8862
- NPI assigned
- Jul 29, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130610000037 | TN | Order and Referring Only - Pediatric Medicine |
9638144488 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38455 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Pediatric and Adolescent Medicine | Pediatrics | Current | Accepting new patients |
| Pediatric Emergency Specialists, PC | Pediatric Emergency Medicine | Past | Accepting new patients |
Locations
214 Lakeview Rd
Ste 2
Somerville, TN 38068
Phone (901) 516-4082
201 Lakeview Rd
#A
Somerville, TN 38068
Phone (901) 465-6353
Interoperability endpoints
- dhamilton25123@mlh.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 38455 | TN | |
| Pediatrics Physician | 208000000X | 38455 | TN | Yes |
Addresses
Primary practice location
201 Lakeview Rd Ste a
Somerville, TN 38068-9742
Mailing address
201 Lakeview Rd Ste a
Somerville, TN 38068-9742
Phone (901) 813-8861
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440910 | Medicaid | TN |
Other providers in Somerville, TN
- Rolando Gentica Gersava
- Mackenzie Gibbons
- Gregory Reeves
- Charles P Haddad
- Amanda H Hall
- Raymond Hawkins Jr.
- Bessie M Hoskins
- Savannah Pierski Hughes
- Tiffany Michelle Hunter
- Keaira Jones
All providers in Somerville, TN · Pediatrics Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.