DR. JACK FREDERICK HAMILTON (NPI# 1821064445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821064445 |
| Entity Type | Individual |
| Full Name | DR. JACK FREDERICK HAMILTON |
| Credential | DPM |
| Practice Address |
2030 Walton Way Augusta GA 30904-4120 |
| Practice Telephone | 7067381925 |
| Practice Fax Number | 7067380705 |
| Mailing Telephone | 7067381925 |
| Mailing Fax Number | 7067380705 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD000340 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | 480026649 | 01 |
| GA | MEDICARE | 48SCBZS | 01 |
| GA | 00005904B | 05 | |
| GA | MEDICARE NSC | 1922914 | 01 |
| GA | BLUE CROSS BLUE SHIELD | 52000361 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295002962 | Jack Miller Hamilton | Pharmacist | 822 Georgetown Pl, San Jose, CA 95126-3062 | 2011-11-23 |
| 1124277405 | Jack Nelson Hamilton | Dentist | 72880 Fred Waring Dr Ste D16, Palm Desert, CA 92260-9377 | 2008-09-11 |
| 1154432540 | Jack Hamilton | Dentist | 129b N Main St, Fair Haven, VT 05743-1132 | 2006-08-31 |
| 1154936003 | Jack Bradley Hamilton | Orthotic Fitter | 408 Northeast Blvd, Clinton, NC 28328-2434 | 2020-09-08 |
| 1285291195 | Jack Tanner Hamilton | Student in an Organized Health Care Education/Training Program | 1411 E 31st St Fl 2, Oakland, CA 94602-1018 | 2019-05-27 |
| 1548529555 | Jack Gleaton Hamilton Jr. | Dentist | 1477 San Marino Ave, Suite 3, San Marino, CA 91108-2052 | 2012-05-10 |
| 1669730065 | Jack Hamilton | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2012-04-24 |
| 1508845447 | Jack E Hamilton | Pathology | 1620 Medical Ln, Suite 100, Ft Myers, FL 33907-1143 | 2006-01-10 |
| Street Address |
2030 WALTON WAY |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30904-4120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497144026 | E Clark Garner Md PC | Internal Medicine | 2030 Walton Way, Augusta, GA 30904-4120 | 2015-01-20 |
| 1679616072 | Augusta Podiatry Associates | Podiatrist | 2030 Walton Way, Augusta, GA 30904-4120 | 2007-02-15 |
| 1588685382 | Edward Clark Garner | Internal Medicine | 2030 Walton Way, Augusta, GA 30904-4120 | 2006-07-21 |
| 1003871013 | Henry Greene Bryant IIi | Podiatrist | 2030 Walton Way, Augusta, GA 30904-4120 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423706 | Lawren Murray Tachias | Registered Nurse | 950 15th Street Downtown, Augusta, GA 30904 | 2019-02-13 |
| 1457851842 | Heba Ahmed | Pharmacist | 912 15th Street, Augusta, GA 30904 | 2018-02-13 |
| 1124552690 | Jenny Liles | Student in an Organized Health Care Education/Training Program | 1004 Chafee Ave, Augusta, GA 30904 | 2017-04-11 |
| 1932640836 | Claudia Crawford | Student in an Organized Health Care Education/Training Program | 2624 Oakland Ave., Augusta, GA 30904 | 2017-03-13 |
| 1801240528 | F. Marion Durst IIi Dmd PC | Clinic/Center | 2325 Washington Road, Augusta, GA 30904 | 2016-04-19 |
| 1689031296 | Teresa Maria Martin | Counselor | 1e-148, Charlie Norwood Vamc One Freedom Way, Augusta, GA 30904 | 2016-01-27 |
| 1598122269 | Jillian Wilkerson | Counselor | Charlie Norwood Veteran Affairs One Freedom Way, Substance Use Recovery Clinic, Augusta, GA 30904 | 2016-01-26 |
| 1760855241 | Chase King | Occupational Therapist | 1735 Berkeley Rd, Augusta, GA 30904 | 2015-11-05 |
| 1962832246 | April Underwood Fox | Physician Assistant | 1417 Pendleton Rd, Augusta, GA 30904 | 2013-11-22 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| Find all providers in zip 30904 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962954123 | Debrad Morgan, Dpm, LLC | Podiatrist | 3479 Sharon Rd, Augusta, GA 30909-9539 | 2016-11-03 |
| 1275643710 | Latanya P. Fyne | Podiatrist | 1710 Central Ave., Augusta, GA 30904-5850 | 2006-08-30 |
| 1649276411 | Andrew Taylor Smith IIi | Podiatrist | 26 Eastern Ave, Augusta, ME 04330-5722 | 2005-06-24 |
| 1710421458 | Compassionate Podiatry, LLC | Podiatrist | 3479 Sharon Rd, Augusta, GA 30909-9539 | 2016-12-15 |
| 1356704597 | Machli Adrien | Podiatrist | 1120 15th St, Augusta, GA 30912-3808 | 2016-04-04 |
| 1629413604 | Ian Harold Barker | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2013-05-06 |
| 1508147943 | Terria Nicole Madison | Podiatrist | 1 Freedom Way, Augusta, GA 30904-6258 | 2011-08-30 |
| 1740500339 | Melissa Marschner | Podiatrist | 1 Va Center, Augusta, ME 04330 | 2010-06-04 |
| 1801067947 | Dr. Andrew T. Smith, Dpm, Dba Augusta Foot and Ankle Center | Podiatrist | 26 Eastern Ave, Augusta, ME 04330-5722 | 2008-03-17 |
| 1679616072 | Augusta Podiatry Associates | Podiatrist | 2030 Walton Way, Augusta, GA 30904-4120 | 2007-02-15 |
| Find all providers in AUGUSTA | ||||
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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.