Provider Demographics
NPI:1114996295
Name:HAMMOND, ERIKA ELIZABETH (PA)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:ERIKA
Other - Middle Name:ELIZABETH
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:770-590-8311
Mailing Address - Fax:770-590-8313
Practice Address - Street 1:790 CHURCH ST NE
Practice Address - Street 2:SUITE 335
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7282
Practice Address - Country:US
Practice Address - Phone:770-590-8311
Practice Address - Fax:770-590-8313
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003542363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA310000119JMedicaid
GA310000119MMedicaid
GA310000119NMedicaid
GA202I976164OtherMEDICARE PTAN
GA310000119KMedicaid
GA310000119LMedicaid