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Jordan Tyler Hamilton

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

401 Sivley Rd SW Ste 1, Huntsville, AL 35801-5108

PECOS Enrollment

This provider is enrolled in PECOS as JORDAN HAMILTON.

Based on the most recent information from CMS, provider Jordan Tyler Hamilton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1578917944
Provider Type
Individual
Full Name
Hamilton, Jordan Tyler
Credential
MD, MPH

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/21/2016
Last Updated
12/2/2021

Contact Information

Practice Location

401 Sivley Rd SW Ste 1, Huntsville, AL 35801-5108

(256) 265-4462

(256) 265-4463

Mailing Location

PO Box 2705, Huntsville, AL 35804-2705

(256) 265-4462

(256) 265-4463

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 41360 Alabama

Jordan Tyler Hamilton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tennessee Valley Ob-Gyn Clinic Pc

Mumfrey, Paul D

John P Cimino Md, Pc

Rushing, David L

Hh Obstetrics & Gynecology

Image Of Eve Restored, Inc

Shakar, Thomas James

Cardwell, Robin B.

Delisle, Gregg Arthur

Advanced Obgyn Pc