Active NPI
Brian Ansel Hanna, MD
- Family Medicine Physician
- Florence, SC
National Provider Identifier
1386628147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23256
- Practice address
- 360 N Irby St
Florence, SC 29501-2808 - Phone
- (843) 667-9414
- Fax
- (843) 667-1362
- NPI assigned
- Dec 5, 2005
- Last updated
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23256 | SC | Primary |
Addresses
Primary practice location
360 N Irby St
Florence, SC 29501-2808
Mailing address
360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3509 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartsville Medical Group LLC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- bhanna280462@direct.musc.edu
- https://api.platform.athenahealth.com/8689/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Hartsville, SC
- NPI 1598995300
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1386628147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 N IRBY ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295012808",
"telephone_number": "843-667-9414",
"fax_number": "843-667-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N IRBY ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295012808",
"telephone_number": "843-667-9414",
"fax_number": "843-667-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "BRIAN",
"middle_name": "ANSEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "23256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3509",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.