Healthcare Provider Details

I. General information

NPI: 1306824743
Provider Name (Legal Business Name): BRIAN PAUL HAMON SA-C, OA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 HOSPITAL DR
TOCCOA GA
30577-6820
US

IV. Provider business mailing address

163 HOSPITAL DR
TOCCOA GA
30577-6820
US

V. Phone/Fax

Practice location:
  • Phone: 706-282-5845
  • Fax: 706-754-8777
Mailing address:
  • Phone: 706-282-5845
  • Fax: 706-754-8777

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number799
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code246ZX2200X
TaxonomyOrthopedic Assistant
License Number799
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier799
Identifier TypeOTHER
Identifier StateGA
Identifier IssuerORTHO P.A. CERTIFICATION

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: