Hannah Addis, PNP

Individual provider Active NPI Pediatric Nurse Practitioner · Covington, GA

NPI 1124494588 · NPPES record last updated Nov 6, 2025

Key facts

NPI
1124494588
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
APRN-NP216424 (GA)
Practice address
4181 Hospital Dr NE
Suite 202
Covington, GA 30014-2541
Phone
(770) 728-1901
Fax
(770) 728-1907
NPI assigned
Aug 19, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
APRN-NP216424GAMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN-NP216424 GA Yes

Addresses

Primary practice location

4181 Hospital Dr NE
Suite 202
Covington, GA 30014-2541

Mailing address

4181 Hospital Dr NE
Suite 202
Covington, GA 30014-2541
Phone (770) 728-1901

Other providers in Covington, GA

All providers in Covington, GA · Pediatric Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.