JORDAN LORENZO HAMILTON (NPI# 1174184063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174184063 |
| Entity Type | Individual |
| Full Name | JORDAN LORENZO HAMILTON |
| Practice Address |
254 Marigold St Mount Airy LA 70076-2119 |
| Practice Telephone | 9858173432 |
| Mailing Telephone | 9858173432 |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2019-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578917944 | Jordan Tyler Hamilton | Obstetrics & Gynecology | 401 Sivley Rd Sw Ste 1, Huntsville, AL 35801-5108 | 2016-04-21 |
| 1932635687 | Jordan Lily Rowena Hamilton | Registered Nurse | 30 Ne Mlk Blvd, Portland, OR 97232-2941 | 2017-05-01 |
| 1912319294 | Jordan A Hamilton | Psychologist | 128 East St, Auburn, CA 95603-5119 | 2014-05-21 |
| 1962830760 | Jordan Ann Hamilton | Physical Therapist | 1312 W Arch Haven Ave Bldg 1320, Ste E, Bloomington, IN 47403-2089 | 2013-10-15 |
| Street Address |
254 MARIGOLD ST |
| City | MOUNT AIRY |
| State | LA |
| Zip Code | 70076-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282913 | Laurie Anne Mombay | Counselor | 6086 Yona Ct, Mount Airy, MD 21771-7446 | 2020-10-10 |
| 1205434511 | Cooper Counseling, Pllc | Counselor | 224 Woodbridge Dr, Mount Airy, NC 27030-7549 | 2020-10-09 |
| 1285248120 | Rachel Lynn Hauptman | Nurse Practitioner | 2945 Lonesome Dove Rd, Mount Airy, MD 21771-8025 | 2020-09-08 |
| 1336751783 | Tamara Roberta Layne | Speech-Language Pathologist | 1525 Searchlight Way, Mount Airy, MD 21771-7708 | 2020-08-18 |
| 1801410295 | Scenic Pharmacy, Inc | Pharmacy | 113 Scenic Outlet Ln Ste 1, Mount Airy, NC 27030-9978 | 2020-06-02 |
| 1255950325 | Northern Hospital District of Surry County | Clinic/Center | 119 Welch Rd Ste A, Mount Airy, NC 27030-5274 | 2020-04-09 |
| 1255966735 | David Lee Lowery | Pharmacist | 1102 Midvale Ave, Mount Airy, MD 21771-5522 | 2020-03-05 |
| 1831723451 | Sarena Mae Ferguson | Counselor | 602 Center St Ste 209, Mount Airy, MD 21771-7445 | 2020-02-24 |
| 1518599679 | Gemini Health Holdings LLC | Psychologist | 1704 Back Acre Cir, Mount Airy, MD 21771-7768 | 2020-02-06 |
| 1588296610 | Retina First LLC | Ophthalmology | 1502 S Main St Ste 305, Mount Airy, MD 21771-5374 | 2020-02-06 |
| Find all providers in MOUNT AIRY | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891272704 | Charlene Frye | Case Manager/Care Coordinator | 631 Day Star Ct, Mount Airy, GA 30563-4152 | 2018-07-24 |
| 1033440920 | Regina Louise Edwards | Case Manager/Care Coordinator | 738 S Main St, Mount Airy, NC 27030-4724 | 2010-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124762 | Mary Flemon | Case Manager/Care Coordinator | 733 Keyser Ave Ste 120, Natchitoches, LA 71457-0039 | 2020-11-02 |
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1306445713 | Beverly Jean Holmes | Case Manager/Care Coordinator | 9331 Foster Rd Apt C, Baton Rouge, LA 70811-2736 | 2020-10-19 |
| 1922606326 | Christie Hitchens | Case Manager/Care Coordinator | 1041 Chariot Dr, Baton Rouge, LA 70816-1842 | 2020-10-16 |
| 1134727514 | Shatiya Reshun Williams | Case Manager/Care Coordinator | 6121 Dauphine St, New Orleans, LA 70117-2109 | 2020-10-16 |
| 1750989190 | Bridgette Lynette Azoanee | Case Manager/Care Coordinator | 4119 Lake Sherwood Ave E, Baton Rouge, LA 70816-7322 | 2020-10-16 |
| 1447858923 | Ajona Lavallais | Case Manager/Care Coordinator | 521 Redbird Dr, Alexandria, LA 71303-3934 | 2020-10-15 |
| 1629676465 | Jessica Dennis | Case Manager/Care Coordinator | 2950 Chippewa St, Baton Rouge, LA 70805-8126 | 2020-10-14 |
| 1720686769 | Wyona Jordan | Case Manager/Care Coordinator | 6980 Saint Francis Ave, Baton Rouge, LA 70811-1419 | 2020-10-13 |
| 1043817331 | Wanda Frazier | Case Manager/Care Coordinator | 203 Robert Lee Cir, Lafayette, LA 70506-3130 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 70076 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.