Individual provider Active NPI

Jamie Lynn Hammond

  • Physician Assistant
  • Elizabethtown, NC
National Provider Identifier
1992940233
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01634 Issued in NC
Practice address
300A McKay St
Elizabethtown, NC 28337-9037
Phone
(910) 862-5500
NPI assigned
Dec 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01634 NC Primary

Addresses

Primary practice location

300A McKay St
Elizabethtown, NC 28337-9037

Mailing address

300A McKay St
PO Box 517
Elizabethtown, NC 28337-9037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220001001 PA Practitioner - Physician Assistant 0143488395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-01634NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ars Treatment Centers, P.C. CurrentSince Jan 3, 2023 Accepting new patients
Bladen Medical Associates Past Accepting new patients

Locations

220 S Main St
Ste A
Butler, PA 16001

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

200 E Broad St
Ste 300
Greenville, SC 29601

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229299200000",
    "number": "1992940233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300A MCKAY ST",
            "address_2": "PO BOX 517",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A MCKAY ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379037",
            "telephone_number": "910-862-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

Verify at the official NPI Registry.