NPIMap

Individual provider Active NPI

J. Daniel Hanks Jr.

  • Diagnostic Radiology Physician
  • Rome, GA
National Provider Identifier
1144300195
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
013042 Issued in GA
Practice address
1104 Martha Berry Blvd NE
Rome, GA 30165-1612
Phone
(706) 291-2077
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 013042 GA
Neuroradiology Physician 2085N0700X 013042 GA
Nuclear Radiology Physician 2085N0904X 013042 GA
Pediatric Radiology Physician 2085P0229X 013042 GA
Diagnostic Radiology Physician 2085R0202X 013042 GA Primary
Therapeutic Radiology Physician 2085R0203X 013042 GA
Vascular & Interventional Radiology Physician 2085R0204X 013042 GA

Addresses

Primary practice location

1104 Martha Berry Blvd NE
Rome, GA 30165-1612

Mailing address

1104 Martha Berry Blvd NE
Rome, GA 30165-1612
Phone (706) 291-2077

Other identifiers 1

IdentifierTypeStateIssuer
143865OtherGABCBS OF GEORGIA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13042GAMDEmergency Medicine Physician
013042GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Radiology Group, PA Body Imaging Past Accepting new patients
Rome Imaging Associates Nuclear Radiology Past Accepting new patients
Harbin Clinic, LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1144300195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 MARTHA BERRY BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651612",
            "telephone_number": "706-291-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 MARTHA BERRY BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651612",
            "telephone_number": "706-291-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "J.",
        "middle_name": "DANIEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "GA",
            "license": "013042",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "GA",
            "license": "013042",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "GA",
            "license": "013042",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "GA",
            "license": "013042",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "013042",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "GA",
            "license": "013042",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "GA",
            "license": "013042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GEORGIA",
            "identifier": "143865",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.