Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Phoenix Medical Office at College Park,LLC

Internal Medicine Physician in College Park, GA · enumerated 2011 · authorized official Kelvin Hamner, Owner/MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396033064

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Registry record

Entity type Organization (Type 2)

Legal business name Phoenix Medical Office at College Park,LLC

Practice address 1631 Phoenix Blvd Ste 4, College Park, GA, 30349

Phone (678) 788-8950

Fax (678) 788-8953

Enumeration date Jul 15, 2011

Last updated in NPPES Dec 11, 2012

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 39813 (GA) Primary

Authorized official

Name Kelvin Hamner

Title Owner/MD

Phone (678) 788-8950

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Phoenix Medical Office at College Park,LLC?

Phoenix Medical Office at College Park,LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).

Providers at this address

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Kelvin Hamner Internal Medicine Physician · College Park, GA NPI 1073656344

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-12-11.