Charles Dewey Hammonds, M.D.
Individual provider Active NPI Anesthesiology Physician · Lawrenceville, GA
NPI 1831283290 · NPPES record last updated Jun 8, 2023
Key facts
- NPI
- 1831283290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 25MA08775100 (NJ)
- Practice address
- 1000 Medical Center Blvd
Lawrenceville, GA 30046-7694 - Phone
- (678) 312-1000
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Brody School of Medicine at East Carolina University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Atlanta Anesthesia Professionals, LLC
Practice addresses (Care Compare)
1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000
3620 Howell Ferry Rd
Duluth, GA 30096-3178
Phone (678) 312-6800
Hospital & facility affiliations
- Northside Hospital Gwinnett
- Northside Hospital Duluth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200127000284 | GA | Practitioner - Anesthesiology | 9739368648 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Current |
Accepting new patients | |
| American Anesthesiology Associates of Georgia, LLC | Anesthesiology | Current |
Accepting new patients |
| North Atlanta Anesthesia Professionals, LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current |
Accepting new patients |
| Radius Anesthesia of Georgia LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Services of Atlanta LLC | Anesthesiology | Current |
Accepting new patients |
| Gi Anesthesia of Georgia LLC | Anesthesiology | Current |
Accepting new patients |
| Coastal Ambulatory Anesthesia LLC | Anesthesiology | Current |
Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902
2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000
2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 82766 | GA | |
| Anesthesiology Physician | 207L00000X | 25MA08775100 | NJ | Yes |
Addresses
Primary practice location
1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Mailing address
2375 Brissett LN
Brookhaven, GA 30319-0200
Phone (215) 519-2822
Other providers in Lawrenceville, GA
- Renice Bridger Hamilton
- Kelsi Hamlin
- Brandon Jamal Hamm
- Gail S Hammond
- Tara B. Hammond
- William Darrell Hammonds
- Antjuan Hampton
- Hesun Han
- Mijung Han
- Donna L Hance
All providers in Lawrenceville, GA · Anesthesiology Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2023. 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.