KAREN T. HAMILTON M.D.
NPI 1740363746
Hospitalist in Austell, GA

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
3950 AUSTELL ROAD, OB/GYN HOSPITALISTS OFFICE, AUSTELL, GA 30106(770) 732-4025(770) 732-4023 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Oct 16, 2019 (2 updates tracked since 2019).

About Karen T. Hamilton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAREN T. HAMILTON M.D. (NPI 1740363746) is an individual hospitalist provider in Austell, Georgia, licensed in Georgia (61784) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar North Fulton Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1740363746
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKAREN T. HAMILTONCredential: M.D.
Location Address3950 AUSTELL ROAD, OB/GYN HOSPITALISTS OFFICEAustell, GA 30106
Mailing Address3950 Austell RdAustell, GA 30106-1121 · (770) 732-4025 · Fax (770) 732-4023
Fax(770) 732-4023
Sole ProprietorNo
Medical School CMSMeharry Medical College School Of MedicineGraduated 2002
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1740363746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 61784
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 80521 (AZ), 61784 (GA), 51296 (TN)
3950 AUSTELL ROAD, Austell, GA 30106

Secondary Practice Locations 2

Location 12400 S Avenue AYuma, AZ 85364-7127 · Phone (928) 783-3050 · Fax (928) 336-5673
Location 23885 Princeton Lakes Way SW, Suite 412Atlanta, GA 30331-5589 · Phone (678) 365-2322 · Fax (678) 365-2333

Other Identifiers 4

Other4142875TN · Bcbs
Medicaid342552785AGA
Medicaid342552785BGA
Medicaid342552785CGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Karen T. Hamilton M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426059114
PECOS Enrollment IDI20090114000400
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiologist Assistant
3950 AUSTELL ROAD
AUSTELL, GA 30106
Nurse Anesthetist, Certified Registered
3950 AUSTELL ROAD
AUSTELL, GA 30106
Anesthesiology
3950 AUSTELL ROAD
AUSTELL, GA 30106
Anesthesiology
3950 AUSTELL ROAD
AUSTELL, GA 30106
Anesthesiology
3950 AUSTELL ROAD
AUSTELL, GA 30106
Anesthesiologist Assistant
3950 AUSTELL ROAD
AUSTELL, GA 30106
Anesthesiologist Assistant
3950 AUSTELL ROAD
AUSTELL, GA 30106

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karen Hamilton's NPI number?

The NPI number for Karen Hamilton is 1740363746. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Karen Hamilton located?

Karen Hamilton practices at 3950 Austell Road Ob/Gyn Hospitalists Office, Austell, GA 30106. The listed phone number is (770) 732-4025.

What is Karen Hamilton's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Karen Hamilton enrolled in Medicare?

Yes. Karen Hamilton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Karen Hamilton accept?

Health plans from Alliant Health Plans, Inc. list Karen Hamilton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karen Hamilton affiliated with any hospitals?

According to CMS data, Karen Hamilton is affiliated with Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Karen Hamilton was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.