MEDICARE: DR. DAVID S HEMMINGS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	048152	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00242357	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	930412	OTHER	GA	BCBS
2	7735186	OTHER	GA	CIGNA
3	08-01712	OTHER	GA	EVERCARE
4	323395	OTHER	GA	WELLCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376549469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID S HEMMINGS M.D.

Provider Business Mailing Address
First Line	:	6001 PROFESSIONAL PKWY
Second Line	:	SUITE 2040
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-5632
Country	:	US
Telephone Number	:	678-838-9999
Fax Number	:	678-838-9474

Provider Business Practice Location Address
First Line	:	6001 PROFESSIONAL PKWY
Second Line	:	SUITE 2040
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-5632
Country	:	US
Telephone Number	:	678-838-9999
Fax Number	:	678-838-9474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	11/14/2011

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