Individual provider Active NPI

Hannah Alexis Slezak, PA

  • Physician Assistant
  • Gadsden, AL
National Provider Identifier
1265077234
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.2142 Issued in AL
Practice address
705 Goodyear Ave
Gadsden, AL 35903-1156
Phone
(256) 492-0375
Fax
(256) 492-9811
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 9544 GA
Physician Assistant 363A00000X 9354 TN
Physician Assistant 363A00000X PA.2142 AL Primary

Addresses

Primary practice location

705 Goodyear Ave
Gadsden, AL 35903-1156

Mailing address

PO Box 131329
Birmingham, AL 35213-6329
Phone (205) 271-8541

Other practice location 1

1635 Gunbarrel Rd Ste 300
Chattanooga, TN 37421-4986
Phone (425) 778-9250

Other practice location 2

1504 N Thornton Ave Ste 102
Dalton, GA 30720-8394
Phone (706) 226-0508

Other names 1

  • Hannah Alexis Tunks Former name

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9544GAMDHematology & Oncology Physician
PA.2142ALMDPhysician Assistant
9354TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Dec 8, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Dec 8, 2020 Accepting new patients
Hematology and Oncology Associates of Alabama, LLC PastSince Apr 16, 2023 Accepting new patients
Hematology & Oncology Associates of Alabama LLC Hematology & Oncology PastSince Apr 16, 2023 Accepting new patients

Locations

1635 Gunbarrel Rd
Ste 300
Chattanooga, TN 37421
Phone (423) 778-8864

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1265077234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131329",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352136329",
            "telephone_number": "205-271-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031156",
            "telephone_number": "256-492-0375",
            "fax_number": "256-492-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 Gunbarrel Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214986",
            "country_code": "US",
            "telephone_number": "425-778-9250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1504 N Thornton Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307208394",
            "country_code": "US",
            "telephone_number": "706-226-0508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLEZAK",
        "first_name": "HANNAH",
        "middle_name": "ALEXIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "9544",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "9354",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.2142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "TUNKS",
            "middle_name": "ALEXIS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.