Active NPI
Heidi Hendricker Hamilton, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Charleston, SC
National Provider Identifier
1780904128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MMD.32653 LL
- Practice address
- 169 Ashley Ave
Room 202 Main Hospital, Msc333
Charleston, SC 29425-8905 - Phone
- (843) 792-3121
- NPI assigned
- Jun 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MMD.32653 LL | SC | Primary |
Addresses
Primary practice location
169 Ashley Ave
Room 202 Main Hospital, Msc333
Charleston, SC 29425-8905
Mailing address
165 Ashley Ave
Ste 309, Msc908
Charleston, SC 29425-8905
Other names 1
- Dr. Heidi Jane Hendricker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708000268 | SC | Practitioner - Pathology | 3476865247 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Mercer University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Pathology Associates PA
Practice addresses (Care Compare)
800 N Fant St
Anderson, SC 29621-5708
Phone (864) 226-1558
Hospital & facility affiliations
- Anmed Health
- Newberry County Memorial Hospital
- Morgan Medical Center
- Elbert Memorial Hospital
- Cannon Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32653 | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
| MMD.32653 LL | SC | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Pathology Associates PA | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Diagnostic Radiology of Anderson, P.a. | Current | Accepting new patients | |
| Morgan County Georgia Hospital Authority | Current | Accepting new patients |
Locations
5700 Southwyck Blvd
Toledo, OH 43614
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
Interoperability endpoints
- heidihamilton@mmc.medalliesdirect.net
Organizations & group practices 3
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Anderson, SC
- NPI 1235101965
Anatomic Pathology & Clinical Pathology, SC
-
- Diagnostic Radiology Physician
- Anderson, SC
- NPI 1922125269
-
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Madison, GA
- NPI 1083080105
Hospital
-
- Critical Access Hospital
- Madison, GA
- NPI 1205843174
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1780904128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 ASHLEY AVE",
"address_2": "STE 309, MSC908",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"address_2": "ROOM 202 MAIN HOSPITAL, MSC333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-3121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "HEIDI",
"middle_name": "HENDRICKER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "SC",
"license": "MMD.32653 LL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "HENDRICKER",
"middle_name": "JANE",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.