Goble Oneal Hammonds

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6431 State Route 104
MC Dermott, OH 45652-8943

Phone

(740) 876-8627

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Ohio Premier Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • McDermott, OH
  • NPI 1235803115
  NPD
• Southern Ohio Premier Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • McDermott, OH
  • NPI 1427720275
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1992480883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6587 STATE ROUTE 104",
            "city": "MC DERMOTT",
            "state": "OH",
            "postal_code": "456528943",
            "telephone_number": "740-981-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 STATE ROUTE 104",
            "city": "MC DERMOTT",
            "state": "OH",
            "postal_code": "456528943",
            "telephone_number": "740-876-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONDS",
        "first_name": "GOBLE",
        "middle_name": "ONEAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Hall, STNA
• Michael Hall
• Nicholas L Hall, LCDC II
• Keith Allen Hamilton
• Jessica Hamm, CDCA
• Jeremy Hanson, CDCA
• James Harding
• Jessica Rose Hoffer
• Brooke James, CDCA
• Benjamin Kelly, PRS

• Case Manager/Care Coordinator in McDermott, OH
• Providers in McDermott, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.