Healthcare Provider Details

I. General information

NPI: 1225943475
Provider Name (Legal Business Name): CALANDRA HAMMETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3540 WHEELER RD STE 409
AUGUSTA GA
30909-1871
US

IV. Provider business mailing address

2919 WELLINGTON ST
AUGUSTA GA
30909-0658
US

V. Phone/Fax

Practice location:
  • Phone: 912-604-3973
  • Fax:
Mailing address:
  • Phone: 912-604-3973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: