Individual provider Active NPI

Michael K Hamm, D.O.

  • Emergency Medicine Physician
  • St Simons Island, GA
National Provider Identifier
1942275425
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
049021 Issued in GA
Practice address
1044 Village Oaks LN
St Simons Island, GA 31522-4192
Phone
(912) 223-9268
NPI assigned
Feb 20, 2006
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 049021 GA Primary
General Practice Physician 208D00000X 049021 GA

Addresses

Primary practice location

1044 Village Oaks LN
St Simons Island, GA 31522-4192

Mailing address

1044 Village Oaks LN
St Simons Island, GA 31522-4192
Phone (912) 223-9268

Other identifiers 2

IdentifierTypeStateIssuer
813193OtherGABLUE CROSS BLUE SHIELD
000879414EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040405000054 GA Practitioner - Emergency Medicine 1658364039 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ergent Med PrimeGroup PAC ID 8820362189, 6 clinicians

Practice addresses (Care Compare)

5248 New Jesup Hwy
Brunswick, GA 31523-1211
Phone (912) 264-1883

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Physician Specialists Emergency Medicine CurrentSince Jun 1, 2003 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Sep 15, 2016 Accepting new patients
Ergent Med-1 Current Accepting new patients
Ergent Med Prime CurrentSince Jul 25, 2017 Accepting new patients
Wayne Emergency Group LLC Emergency Medicine CurrentSince Sep 1, 2021 Accepting new patients
Liberty Emergency Group LLC Emergency Medicine Past Accepting new patients
Barrier Island Emergency Care PastSince Oct 1, 2001 Accepting new patients
Jane Todd Crawford Memorial Hospital Inc. Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine PastSince Nov 7, 2013 Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Past Accepting new patients
Jane Todd Hospital Radiological Associates,LLC Past Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

5248 New Jesup Hwy
Brunswick, GA 31523
Phone (912) 264-1883

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

2000 Dan Proctor Dr
Saint Marys, GA 31558
Phone (912) 576-6160

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

106 Retreat Vlg
St Simons Island, GA 31522
Phone (912) 434-9316

Interoperability endpoints

  • Direct secure messaging: michael.hamm@241121034764292.direct.elationemr.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1942275425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 VILLAGE OAKS LN",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224192",
            "telephone_number": "912-223-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 VILLAGE OAKS LN",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315224192",
            "telephone_number": "912-223-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "049021",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "049021",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "813193",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000879414E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Simons Island, GA

Sources for this page

Verify at the official NPI Registry.