Individual provider Active NPI

Ryan L Hamilton, NP-C

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1821538992
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22383 Issued in TN
Practice address
569 Skyline Drive
Suite 100
Jackson, TN 38301
Phone
(731) 427-7888
Fax
(731) 265-4159
NPI assigned
Mar 8, 2017
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22383 TN Primary

Addresses

Primary practice location

569 Skyline Drive
Suite 100
Jackson, TN 38301

Mailing address

569 Skyline Drive
Suite 100
Jackson, TN 38301
Phone (731) 427-7888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170508001752 TN Practitioner - Nurse Practitioner 6709163348 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

101 Jackson Walk Plaza
Jackson, TN 38301-3008
Phone (731) 425-6900

125 W Church St
Lexington, TN 38351-2011
Phone (731) 249-9500

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 26, 2017 Accepting new patients
WT Medical Associates Family CurrentSince Dec 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 26, 2017 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 21, 2025 Accepting new patients
WT Medical Associates CurrentSince Dec 1, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 6, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Jul 6, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 21, 2025 Accepting new patients
Carl W. Huff, MD, PC Past Accepting new patients

Locations

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

750 US Highway 51 Byp W
Dyersburg, TN 38024
Phone (731) 325-3473

101 Jackson Walk Plz
Jackson, TN 38301
Phone (731) 421-6950

1270 Union University Dr
Ste A
Jackson, TN 38305
Phone (731) 664-0103

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

569 Skyline Dr
Ste 100
Jackson, TN 38301
Phone (731) 427-7888

125 W Church St
Lexington, TN 38351
Phone (731) 249-9300

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

Interoperability endpoints

  • Direct secure messaging: rhamilton17820@directepic.wth.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1821538992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 SKYLINE DRIVE",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-427-7888",
            "fax_number": "731-265-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 SKYLINE DRIVE",
            "address_2": "SUITE 100",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38301",
            "telephone_number": "731-427-7888",
            "fax_number": "731-265-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "RYAN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.