Active NPI
Katherine Renee Hamlet, M.D.
- Dermatology Physician
- Aiken, SC
National Provider Identifier
1831241652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 19769
- Practice address
- 521 Silver Bluff Rd
Aiken, SC 29803-6011 - Phone
- (803) 644-0100
- Fax
- (803) 644-0110
- NPI assigned
- Jan 18, 2007
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 19769 | SC | Primary |
Addresses
Primary practice location
521 Silver Bluff Rd
Aiken, SC 29803-6011
Mailing address
521 Silver Bluff Rd
Aiken, SC 29803-6011
Phone (803) 644-0100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 571080342001 | Other | SC | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19769 | SC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southside Dermatology | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- katherine.hamlet.1@18348.direct.athenahealth.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831241652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 SILVER BLUFF RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036011",
"telephone_number": "803-644-0100",
"fax_number": "803-644-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 SILVER BLUFF RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298036011",
"telephone_number": "803-644-0100",
"fax_number": "803-644-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMLET",
"first_name": "KATHERINE",
"middle_name": "RENEE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "SC",
"license": "19769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "571080342001",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.