Jack Frederick Hamilton, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD000340 Issued in GA

Practice address

2030 Walton Way
Augusta, GA 30904-4120

Phone

(706) 738-1925

Fax

(706) 738-0705

NPI assigned

Feb 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1821064445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044120",
            "telephone_number": "706-738-1925",
            "fax_number": "706-738-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044120",
            "telephone_number": "706-738-1925",
            "fax_number": "706-738-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JACK",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "1922914",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00005904B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480026649",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52000361",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "48SCBZS",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin H Hamilton, RPH
• Betty Hamilton
• Bryn G Hamilton, R.D.
• Caroline Adele Hamilton, PA-C
• Caroline Loss Hamilton
• Kamala Hamilton
• Arsheen Arif Hamirani, PA-C
• George Herman Hamiter III, OD
• Daniel Hammer, D.O.
• Calandra Hammett

• Podiatrist in Augusta, GA
• Providers in Augusta, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.