NPIMap

Organization Active NPI

Hamilton Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Dalton, GA
National Provider Identifier
1760645782
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
155-527 Issued in GA
Legal business name
HAMILTON MEDICAL CENTER, INC.
Practice address
1200 Memorial Dr
Dalton, GA 30720-2529
Phone
(706) 272-6115
Fax
(706) 272-6117
NPI assigned
Jul 9, 2008
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Joseph L McGuire, MBA, CPA
Title
Vice President and Controller
Phone
(706) 272-6115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 155-527 GA Primary

Addresses

Primary practice location

1200 Memorial Dr
Dalton, GA 30720-2529

Mailing address

PO Box 1168
Dalton, GA 30722-1168
Phone (706) 272-6115

Other identifiers 1

IdentifierTypeStateIssuer
100013OtherGABCBS OF GEORGIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041119001024 GA Part A Provider - Hospital 0446151179 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dalton, GA; Ringgold, GA; Chatsworth, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760645782. Details of each certification follow.

Hospital certification: CCN 110001

Legal name
HAMILTON MEDICAL CENTER, INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 7, 2025
Beds
282
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 30, 1996 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1982 in GA
Enrollment address
1200 Memorial Dr
Dalton, GA 30720-2529
Other Hospital Practice Location
Hospital subgroups
General, Acute care, Psychiatric unit

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hamilton Medical CenterCCN 110001 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Brooker Individual Corporate Director Nov 6, 2007
Hamilton Medical Center, Inc Organization, Dalton, GA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 30, 1996
Operational/Managerial Control Nov 6, 2007
Robert Hubbs Individual Corporate Director Nov 6, 2007
Robert Chandler Individual Corporate Director Nov 6, 2007
Randall Foster Individual Corporate Director Jun 13, 2019
W-2 Managing Employee May 12, 1986
Yvette Lee Individual W-2 Managing Employee Oct 3, 2016
Jonathan David Gregg Individual Corporate Director Jul 1, 2015

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 477

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 477

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1760645782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307221168",
            "telephone_number": "706-272-6115",
            "fax_number": "706-272-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202529",
            "telephone_number": "706-272-6115",
            "fax_number": "706-272-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CONTROLLER",
        "authorized_official_telephone_number": "706-272-6115",
        "authorized_official_credential": "MBA, CPA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "GA",
            "license": "155-527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "100013",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.