Individual provider Active NPI

Robert Ezra Hamilton III, M.D.

  • Emergency Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1770523706
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34859 Issued in TN
Practice address
975 E 3Rd St
Chattanooga, TN 37403-2103
Phone
(423) 778-7296
Fax
(423) 778-8068
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34859 TN Primary

Addresses

Primary practice location

975 E 3Rd St
Chattanooga, TN 37403-2103

Mailing address

1073 Enclave Rd
Chattanooga, TN 37415-5631
Phone (423) 326-4032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100611000301 TN Practitioner - Emergency Medicine 7113057548 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee River Physicians, PLLCGroup PAC ID 8022387349, 65 clinicians

Practice addresses (Care Compare)

975 E 3Rd St
Chattanooga, TN 37403-2173
Phone (423) 778-7000

Hospital & facility affiliations

  • Erlanger Medical Center Hospital, Chattanooga, TN, CCN 440104

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34859TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince May 24, 2024 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 26, 2016 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
Ellis Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Tennessee Em-I Medical Services, PC Emergency Medicine Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

2333 McCallie Ave
Chattanooga, TN 37404
Phone (423) 493-1387

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

16931 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-5100

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

71 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-2112

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1770523706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 ENCLAVE RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374155631",
            "telephone_number": "423-326-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E 3RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032103",
            "telephone_number": "423-778-7296",
            "fax_number": "423-778-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "ROBERT",
        "middle_name": "EZRA",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "34859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.