Organization Active NPI

James G Hankerson PA

Doing business as Magnolia Anesthesia Consultants

  • Anesthesiology Physician
  • Tampa, FL
National Provider Identifier
1235332354
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JAMES G HANKERSON PA
Doing business as
Magnolia Anesthesia Consultants
Practice address
2727 W. Martin Luther King Blvd.
Suite 150
Tampa, FL 33607-6383
Phone
(813) 885-6666
Fax
(913) 341-5797
NPI assigned
Jun 6, 2007
Last updated
Jul 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Authorized official

Name
Dr. James G Hankerson, MDNPI 1306822994
Title
President
Phone
(813) 362-3718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

2727 W. Martin Luther King Blvd.
Suite 150
Tampa, FL 33607-6383

Mailing address

PO Box 864241
Orlando, FL 32886-4241
Phone (800) 884-7205

Other identifiers 2

IdentifierTypeStateIssuer
39005OtherFLBCBS OF FL
278591900MedicaidFL

Other names 1

  • Magnolia Anesthesia Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070912000002 FL Part B Supplier - Clinic/Group Practice 1254424955 Receives reassigned benefits from 83 practitioners
Practice locations: Tampa, FL; Wesley Chapel, FL; St Petersburg, FL; Odessa, FL

National Provider Directory

National Provider Directory

Locations

11911 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 265-5300

2727 W Mlk Blvd
Ste 150
Tampa, FL 33607
Phone (813) 357-5900

Practitioners & affiliated clinicians

Practitioners 99

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 99

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1235332354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 864241",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328864241",
            "telephone_number": "800-884-7205",
            "fax_number": "913-696-7141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W. MARTIN LUTHER KING BLVD.",
            "address_2": "SUITE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076383",
            "telephone_number": "813-885-6666",
            "fax_number": "913-341-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G HANKERSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "HANKERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-362-3718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "39005",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278591900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Anesthesia Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Anesthesia Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.