NPIMap

Organization Active NPI

Hamilton Medical Center Inc

  • Home Health Agency
  • Dalton, GA
National Provider Identifier
1861480188
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
155-012 Issued in GA
Legal business name
HAMILTON MEDICAL CENTER INC
Practice address
1221 Elkwood Dr
Dalton, GA 30720-8723
Phone
(706) 226-2848
Fax
(706) 272-6661
NPI assigned
Oct 11, 2005
Last updated
Sep 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Mr. John S Bowling, CEO
Title
Chief Operating Officer
Phone
(706) 272-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 155-012 GA Primary

Addresses

Primary practice location

1221 Elkwood Dr
Dalton, GA 30720-8723

Mailing address

1221 Elkwood Drive
Dalton, GA 30722-1168
Phone (706) 226-2848

Other identifiers 1

IdentifierTypeStateIssuer
00199812AMedicaidGA

Other names 1

  • Hamilton Home Health Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081009000134 GA Part A Provider - Home Health Agency 0446151179 Practice locations: Dalton, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861480188. Details of each certification follow.

Home health agency certification: CCN 117062

Legal name
HAMILTON MEDICAL CENTER, INC
Doing business as
HAMILTON HOME HEALTH AND HOSPICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 1999
Last certification
Feb 22, 2018
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Incorporated
Oct 26, 1982 in GA
Enrollment address
475 Reed Rd
Ste 104
Dalton, GA 30720-6310
HHA Branch

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Hamilton Home HealthCCN 117062 · All quality measures
Overall star rating
5 of 5
Ownership
Non-Profit
Certified
Jul 1, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Emergency Physicians-Ha8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1221 Elkwood Dr
Dalton, GA 30720
Phone (706) 226-2848

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert Brooker Individual Corporate OfficerBoard Member Jan 2, 2010
Hamilton Medical Center, Inc Organization, Dalton, GA Operational/Managerial Control Aug 11, 2008
Amanda Horne Individual Operational/Managerial ControlClinical Manager Aug 6, 2021
Jeffery Myers Individual Corporate OfficerPresident & Ceo Jan 2, 2010
Robert Hubbs Individual Corporate OfficerBoard Member Jan 2, 2010
Blake Nelson Individual Corporate DirectorDirector Feb 3, 2020 100%
Operational/Managerial ControlDirector Feb 3, 2020
Robert Chandler Individual Corporate OfficerBoard Member Jan 2, 2010
Randall Foster Individual Corporate DirectorDirector of Finance Jun 14, 2019
W-2 Managing EmployeeDirector of Finance Jun 14, 2019
Wallace R Weeks Individual Corporate OfficerBoard Member Jul 1, 2017
Jonathan David Gregg Individual Corporate OfficerBoard Member Jul 1, 2017
Julia Crosslin Individual W-2 Managing EmployeeReferral Intake Coordinator Aug 6, 2021

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hamilton Medical Center, IncDalton, GA, CCN 110001 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Sep 30, 1996
Nov 6, 2007
Hamilton Medical CenterCleveland, TN, CCN 440185 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 39

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1861480188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 ELKWOOD DRIVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307221168",
            "telephone_number": "706-226-2848",
            "fax_number": "706-272-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ELKWOOD DR",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208723",
            "telephone_number": "706-226-2848",
            "fax_number": "706-272-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "706-272-6000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "155-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00199812A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamilton Home Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.