Hamilton Mill Family Complete Care, LLC
NPI 1073881405ActiveOrganization· Internal Medicine· Dacula, GA
Internal Medicine in Dacula, Georgia, registered in NPPES in December 2011, part of Covenant Medical Center, P.C. The authorized official on file is Russell Glassman, Member/Manager.
Overview
| NPI | 1073881405 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Covenant Medical Center, P.C. |
| NPI issued | Dec 13, 2011 |
| Last updated in NPPES | Dec 13, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Chiropractor | 111N00000X | 07581 | GA |
| Nurse Practitioner | 363L00000X | 176596 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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