Kathleen Lee Hannan, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

056572 Issued in GA

Practice address

915 Gordon Ave
Thomasville, GA 31792-6614

Phone

(229) 228-2000

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818

  Diagnostic Radiology, FL

  Medicare reassignment Care Compare group NPD
• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  Diagnostic Radiology, FL

  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging Specialists PA

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1366424947

  Diagnostic Radiology, GA

  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495

  FL

  Medicare reassignment NPD
• Afo Imaging Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1740366764

  Diagnostic Radiology

  NPD
• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205
  NPD
• Imaging Center of West Palm Beach LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Delray Beach, FL
  • NPI 1225402464
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Boynton Beach, FL
  • NPI 1396974705
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • West Palm Beach, FL
  • NPI 1538152939
  NPD
• Imaging Center of West Palm Beach LLC

  • Radiology Clinic/Center
  • Lake Worth, FL
  • NPI 1639308042
  NPD
• LCM Imaging Inc

  • Diagnostic Radiology Physician
  • Jacksonville, FL
  • NPI 1033145669

  Diagnostic Radiology

  NPD
• Preferred Imaging of Plano, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1861575615
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1104870724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 US HIGHWAY 84 W",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317920510",
            "telephone_number": "229-228-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926614",
            "telephone_number": "229-228-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAN",
        "first_name": "KATHLEEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "056572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000810851Y",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252662000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael L Haney, M.D.
• Hanger Prosthetics & Orthotics Inc
• Mary Kathryn Hanisee
• Martha Hanna, NP
• Michael P Hanna, PT
• Todd Anthony Hanscom, DC
• Alex T Harbin, CRNA
• Harborview Thomasville, LLC
• Stephanie Hardy
• Andrea M Hargraves, CNM

• All providers in Thomasville, GA
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.