Tommy Lee Hampton IV IV

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT002095 Issued in GA

Practice address

2405 Bemiss Rd
Valdosta, GA 31602-1936

Phone

(229) 333-2351

NPI assigned

Mar 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peaceway Counseling & Mediation Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valdosta, GA
  • NPI 1215113675
  NPD
• One-to-One Psychological Services

  • Clinical Psychologist
  • Nashville, GA
  • NPI 1437282431
  NPD (past)

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1982462545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 PATRICK PL",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316017936",
            "telephone_number": "229-834-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021936",
            "telephone_number": "229-333-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2414 Patrick Pl",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316017936",
            "country_code": "US",
            "telephone_number": "229-834-2139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMPTON IV",
        "first_name": "TOMMY",
        "middle_name": "LEE",
        "name_suffix": "IV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don E Hairston, LCSW
• Brandon Hall, NP
• Eric Hamilton, M.D.
• Nicholas Thomas Hamilton
• Diane Hamon, LCSW
• Angela Hampton, LPC
• Bobbi Anne Hancock, MS
• Tessa Ashlyn Hancock, FNP-C
• Daniel Haney, PMHNP
• Hanger Prosthetics & Orthotics Inc

• Marriage & Family Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.