Individual provider Active NPI

Katherine Renee Hamlet, M.D.

  • Dermatology Physician
  • Aiken, SC
National Provider Identifier
1831241652
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19769 Issued in SC
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
571080342001OtherSCBLUE 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

LicenseStateTypeSpecialty
19769SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Dermatology Single Specialty PastSince Aug 1, 1999 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.