MEDICARE: MR. ALAA HAMMOND MSN, RN, FNP-C

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	363LF0000X	Family Nurse Practitioner	RN296223	GA
2	363LF0000X	Family Nurse Practitioner	4704366941	MI

General Provider Information

NPI Number	:	1700577442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAA HAMMOND MSN, RN, FNP-C

Provider Business Mailing Address
First Line	:	8 N CLARENDON AVE # 100
Second Line	:
City	:	AVONDALE ESTATES
State	:	GA
Zip	:	30002-1150
Country	:	US
Telephone Number	:	404-905-6666
Fax Number	:	949-882-9954

Provider Business Practice Location Address
First Line	:	405 MABRY PL
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30319-1098
Country	:	US
Telephone Number	:	404-493-4941
Fax Number	:

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

Provider Enumeration Date	:	05/15/2023
Last Update Date	:	06/08/2026

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