Hamilton Medical Cente Physician

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

057776 Issued in GA

Legal business name

HAMILTON MEDICAL CENTE PHYSICIAN

Practice address

1200 Memorial Dr
Dalton, GA 30720-2529

Phone

(706) 272-6560

Fax

(706) 272-6562

NPI assigned

Jul 30, 2007

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HAMILTON MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Mike Stein

Title

Director

Phone

(706) 272-6000

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1790975449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MEMORIAL DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202529",
            "telephone_number": "706-272-6560",
            "fax_number": "706-272-6562"
        },
        {
            "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": "706-272-6560",
            "fax_number": "706-272-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MEDICAL CENTE PHYSICIAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMILTON MEDICAL CENTER",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "STEIN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-272-6000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002516",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "49851",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "49851",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "057776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy Hamill, MD
• Hamilton Ambulatory Surgery Center
• Hamilton Children's Institute Inc (Anna Shaw Children's Institute)
• Hamilton Emergency Medical Services (Whitfield Emergency Medical Servicex)
• Hamilton Home Health
• Hamilton Medical Center Inc (HMC Home Infusion Pharmacy)
• Hamilton Medical Center Inc (HMC Long Term Care Pharmacy)
• Hamilton Medical Center Inc (HMC RX Care)
• Hamilton Medical Center Inc
• Hamilton Medical Center, Inc

• Forensic Psychiatry Physician in Dalton, GA
• Providers in Dalton, GA by specialty
• Forensic Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.