HAMILTON MEDICAL CENTER, INC. (NPI# 1760645782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760645782 |
| Entity Type | Organization |
| Organization Name | HAMILTON MEDICAL CENTER, INC. |
| Practice Address |
1200 Memorial Dr Dalton GA 30720-2529 |
| Mailing Address |
Po Box 1168 Dalton GA 30722-1168 |
| Practice Telephone | 7062726115 |
| Practice Fax Number | 7062726117 |
| Mailing Telephone | 7062726115 |
| Mailing Fax Number | 7062726117 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2011-03-15 |
| Authorized Official Name | JOSEPH L MCGUIRE (VICE PRESIDENT AND CONTROLLER) |
| Authorized Official Telephone | 7062726115 |
| Authorized Official Credential | MBA, CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 155-527 | GA | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS OF GEORGIA | 100013 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528056066 | Hamilton Medical Center, Inc. | Clinic/Center | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2005-10-10 |
| Street Address |
1200 MEMORIAL DR |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982103 | Paul Crutchfield | Specialist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2005-06-14 |
| 1891395505 | Molly Van Wert Cooper | Registered Nurse | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-30 |
| 1922608116 | William Saunders IIi | Nurse Anesthetist, Certified Registered | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-10-28 |
| 1114545431 | North Georgia Anesthesia Services PC | Anesthesiology | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-07-13 |
| 1326665100 | Lacey Boutwell | Pharmacist | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-06-29 |
| 1265061816 | Kiranjit Singh | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1215566864 | Katelyn Amanda Boykin | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1851920409 | Bradley Sackfield | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-06 |
| 1619506557 | Kenette St-gourdin | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-03 |
| 1699304790 | Tomislav Hrvoje Jagatic | Student in an Organized Health Care Education/Training Program | 1200 Memorial Dr, Dalton, GA 30720-2529 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
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| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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|---|---|---|---|---|
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| 1730123431 | John D. Archbold Memorial Hospital, Inc. | Psychiatric Unit | 401 Old Albany Rd, Thomasville, GA 31792-4014 | 2006-06-15 |
| 1023057775 | Floyd Healthcare Management Inc | Psychiatric Unit | 306 Shorter Ave Nw, Rome, GA 30165-4268 | 2006-06-06 |
| 1760436810 | Coliseum Medical Center, LLC | Psychiatric Unit | 340 Hospital Drive, Macon, GA 31217 | 2006-05-22 |
| 1902453111 | Sedzer Health LLC | Psychiatric Unit | 931 E Winthrope Ave, Millen, GA 30442-1839 | 2019-08-22 |
| 1578026431 | South Atlanta Psychiatry LLC | Psychiatric Unit | 253 Upper Riverdale Rd Sw Ste C, Riverdale, GA 30274-4945 | 2019-04-08 |
| 1518440254 | Prime Healthcare Foundation - Southern Regional, LLC | Psychiatric Unit | 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | 2018-09-10 |
| 1831602903 | Savannah Health Services, LLC | Psychiatric Unit | 4700 Waters Ave, Savannah, GA 31404-6220 | 2017-11-13 |
| 1225559610 | Upson County Hospital Inc | Psychiatric Unit | 801 W Gordon St, Thomaston, GA 30286-3426 | 2017-07-06 |
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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.