Individual provider Active NPI

Hossan A Hassan, M.D.

  • Family Medicine Physician
  • Bennettsville, SC
National Provider Identifier
1346226453
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2017-00656 Issued in NC
Practice address
1035 Cheraw St.
Bennettsville, SC 29512
Phone
(843) 454-0442
Fax
(843) 777-6871
NPI assigned
Dec 20, 2005
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017-00656 NC Primary
Family Medicine Physician 207Q00000X 23135 SC
Specialist 174400000X MD23135 SC

Addresses

Primary practice location

1035 Cheraw St.
Bennettsville, SC 29512

Mailing address

PO Box 918
Bennettsville, SC 29512-0918
Phone (843) 454-0841

Other practice location 1

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone (855) 743-2247

Other identifiers 8

IdentifierTypeStateIssuer
405127MedicaidSC
7472114OtherSCCIGNA
000000270686OtherSCUNISON
062OtherSCBCBS
218077OtherSCMEDCOST
063OtherSCBCBS
231350MedicaidSC
18500OtherSCEVOLUTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090729000258 SC Practitioner - Family PracticePractitioner - Hospitalist 4688727340 Reassigns benefits to 7 organizations
I20260330000344 NC Practitioner - Family Practice 4688727340 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, shared by 11 NPIs, 226 clinicians
Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians
Complexcare Medical Group Midwest M PLLCGroup PAC ID 1355858630, 87 clinicians

Practice addresses (Care Compare)

1000 Wellness Way
Fort Mill, SC 29715-7315
Phone (803) 329-1234

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

1035 Cheraw St
Bennettsville, SC 29512-2422
Phone (843) 454-0841

212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247

222 Herlong Ave S
Rock Hill, SC 29732-1158
Phone (803) 329-1234

740 Pavilion View Dr
Matthews, NC 28105-6550
Phone (248) 660-1220

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD23135SCMDSpecialist
2017-00656NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Family Medicine CurrentSince Jul 1, 2010 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc. Family Medicine CurrentSince Jul 26, 2010 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Feb 1, 2019 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc Current Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Apr 1, 2017 Accepting new patients
Apogee Medical Group South Carolina CurrentSince Jun 1, 2017 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Jul 1, 2010 Accepting new patients
Palmetto Infusion Services LLC Past Accepting new patients
Amisub of South Carolina, Inc. Past Accepting new patients

Locations

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

1035 Cheraw St
Bennettsville, SC 29512
Phone (843) 454-0442

2435 Forest Dr
Columbia, SC 29204
Phone (770) 874-6859

164 Waccamaw Medical Park Dr
Conway, SC 29526
Phone (843) 347-4888

144 N Ravenel St
Florence, SC 29506
Phone (843) 777-2566

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1346226453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 918",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295120918",
            "telephone_number": "843-454-0841",
            "fax_number": "815-654-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 CHERAW ST.",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "29512",
            "telephone_number": "843-454-0442",
            "fax_number": "843-777-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Cabarrus Ave E Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280253781",
            "country_code": "US",
            "telephone_number": "855-743-2247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "HOSSAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-00656",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23135",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "MD23135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405127",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7472114",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000270686",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "062",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "218077",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "063",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "231350",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVOLUTIONS",
            "identifier": "18500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennettsville, SC

Sources for this page

Verify at the official NPI Registry.