NPI age
19 years
Enumerated 2006-09-27
● Active
Type 1 · Individual
Benita Nannette Hamilton, PA-C
Hamilton is 1 of 9 physician assistant providers in Dallas and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
500 Nathan Dean Blvd Ste 105
Dallas, GA 301574911
Mailing address
4764 Spruce Way Sw
South Fulton, GA 303317540
Additional practice locations
1 secondary location on file with NPPES.
Location 2
53 Gibson Rd
Goshen, NY 109246709
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NY) | 00355931 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.