NPIMap

Individual provider Active NPI

Edward William Hamilton Jr., D.O.

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1942382726
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053922 Issued in GA
Practice address
4215 Woodruff Rd
Columbus, GA 31904-6889
Phone
(706) 653-6080
Fax
(706) 653-6052
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053922 GA Primary

Addresses

Primary practice location

4215 Woodruff Rd
Columbus, GA 31904-6889

Mailing address

4215 Woodruff Rd
Columbus, GA 31904-6889
Phone (706) 653-6080

Other identifiers 1

IdentifierTypeStateIssuer
143392709DMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000178 GA Practitioner - Family Practice 5991771008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Nova Southeastern College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

4215 Woodruff Rd
Columbus, GA 31904-6889
Phone (706) 653-6080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Medical Care, P.C. Family Medicine CurrentSince Apr 19, 2011 Accepting new patients
Careconnect Health, Inc. Past Accepting new patients
Early Memorial Hospital Family Medicine Past Accepting new patients

Locations

4215 Woodruff Rd
Columbus, GA 31904
Phone (706) 604-5332

Interoperability endpoints

  • Direct secure messaging: edward.hamilton.1@3890.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3890/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1942382726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046889",
            "telephone_number": "706-653-6080",
            "fax_number": "706-653-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046889",
            "telephone_number": "706-653-6080",
            "fax_number": "706-653-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "EDWARD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143392709D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.