Active NPI
Reagan Medical Center LLC
Doing business as hamilton mill medical center
- Specialist
- Dacula, GA
National Provider Identifier
1972666253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- REAGAN MEDICAL CENTER LLC
- Doing business as
- hamilton mill medical center
- Practice address
- 3685 Braselton Hwy
100
Dacula, GA 30019-5920 - Phone
- (678) 546-9800
- Fax
- (678) 344-8600
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Satish Poddar, M.D.
- Title
- Physician
- Phone
- (678) 546-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3685 Braselton Hwy
100
Dacula, GA 30019-5920
Mailing address
3685 Braselton Hwy
Suite 100
Dacula, GA 30019-5920
Phone (678) 546-9800
Other names 1
- hamilton mill medical center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031107000573 | GA | Part B Supplier - Clinic/Group Practice | 6507779329 |
Receives reassigned benefits from 55 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lawrenceville, GA; Suwanee, GA; Johns Creek, GA; Dacula, GA |
Other NPIs on the same Medicare enrollment 6
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696377600000",
"number": "1972666253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3685 BRASELTON HWY",
"address_2": "SUITE 100",
"city": "DACULA",
"state": "GA",
"postal_code": "300195920",
"telephone_number": "678-546-9800",
"fax_number": "678-344-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3685 BRASELTON HWY",
"address_2": "100",
"city": "DACULA",
"state": "GA",
"postal_code": "300195920",
"telephone_number": "678-546-9800",
"fax_number": "678-344-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REAGAN MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2023-10-04",
"certification_date": "2023-09-27",
"status": "A",
"authorized_official_last_name": "PODDAR",
"authorized_official_first_name": "SATISH",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "678-546-9800",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "hamilton mill medical center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "hamilton mill medical center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dacula, GA
- George Quintero, D.D.S., P.C.
- R. David Thomson, MD, LLC (Hamilton Mill Pediatrics)
- R&C Clinic, LLC
- R&R Therapy Solutions LLC
- Natasha M. Ramsey, LPC
- Redefined Mind Center for Change LLC (Redefined Mind Counseling)
- Reen Global Health LTD. Co.
- Symantha J Reenders, DPT
- Rehoboth Homecare Agency
- Brooke Natalie Reiner, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.