Active NPI
Hannah Leah David, PA-C
- Geriatric Psychiatry Physician
- Greenville, SC
National Provider Identifier
1205615663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- 4972
- Practice address
- 117 Commons Way
Greenville, SC 29611-3850 - Phone
- (864) 970-2273
- NPI assigned
- Sep 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, SC
- NPI 1225751068
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Itrust Cares LLC
Practice addresses (Care Compare)
117 Commons Way
Greenville, SC 29611-3850
127 Commons Way
Greenville, SC 29611-3850
Phone (864) 970-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231115003531 | SC | Practitioner - Physician Assistant | 7113374976 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4972 | SC | MD | Speech-Language Pathologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | 4972 | SC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
117 Commons Way
Greenville, SC 29611-3850
Mailing address
117 Commons Way
Greenville, SC 29611-3850
Phone (864) 970-2273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 25, 2023.
{
"created_epoch": "1695600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1205615663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 COMMONS WAY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296113850",
"telephone_number": "864-970-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 COMMONS WAY",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296113850",
"telephone_number": "864-970-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "HANNAH",
"middle_name": "LEAH",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "SC",
"license": "4972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.