Ryan L Hamilton, NP-C
Individual provider Active NPI Family Nurse Practitioner · Jackson, TN
NPI 1821538992 · NPPES record last updated Feb 1, 2019
Key facts
- NPI
- 1821538992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22383 (TN)
- Practice address
- 569 Skyline Drive
Suite 100
Jackson, TN 38301 - Phone
- (731) 427-7888
- Fax
- (731) 265-4159
- NPI assigned
- Mar 8, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- WT Medical Associates
Fast Pace Medical Clinic PLLC
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 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170508001752 | TN | Practitioner - Nurse Practitioner | 6709163348 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| WT Medical Associates | Family | Current |
Accepting new patients |
| Crossroads Urgent Care PLLC | Family | Current |
Accepting new patients |
| WT Medical Associates | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Crossroads Urgent Care PLLC | Family | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
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
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
101 Jackson Walk Plz
Jackson, TN 38301
Phone (731) 421-6950
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
- rhamilton17820@directepic.wth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22383 | TN | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821538992 | Medicaid | TN |
Other providers in Jackson, TN
- Sarah W. Hamil
- Amber C Hamilton
- Anna Catherine Hamilton
- Christina Hamilton
- Ericka L Hamilton
- Jere D Hammond
- Stephen D Hammond
- Stephen Dumas Hammond Jr.
- Vanessia Ann Hammonds
- Monica D Hammons
All providers in Jackson, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.