Individual provider Active NPI

Zandria Hamilton

  • Family Medicine Physician
  • Grayson, GA
National Provider Identifier
1740817709
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RN233665 Issued in GA
Practice address
2251 Chance LN
Grayson, GA 30017-7870
Phone
(770) 757-2755
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X RN233665 GA Primary

Addresses

Primary practice location

2251 Chance LN
Grayson, GA 30017-7870

Mailing address

2251 Chance LN
Grayson, GA 30017-7870
Phone (770) 757-2755

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210514001724 GA Practitioner - Nurse Practitioner 8426467887 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health and PerformanceGroup PAC ID 7719374693, 4 clinicians

Practice addresses (Care Compare)

3651 Mars Hill Rd
Suite 3400
Watkinsville, GA 30677-5985
Phone (678) 726-2227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN233665GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evirtualcare, LLC Multi-Specialty CurrentSince Feb 10, 2021 Accepting new patients
Premier Health Partners, LLC Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients
Outpatient Detox Center of Georgia LLC Current Accepting new patients
Premier Health & Performance Multi-Specialty CurrentSince Dec 1, 2024 Accepting new patients

Locations

775 Sunset Dr
Athens, GA 30606
Phone (573) 331-8026

3651 Mars Hill Rd
Ste 3400
Watkinsville, GA 30677
Phone (706) 502-0503

Organizations & group practices 4

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": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1740817709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 CHANCE LN",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177870",
            "telephone_number": "770-757-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 CHANCE LN",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177870",
            "telephone_number": "770-757-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ZANDRIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN233665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

Verify at the official NPI Registry.