Individual provider Active NPI

Hannah Rebekah Mayhak, PA-C

  • Physician Assistant
  • Columbia, SC
National Provider Identifier
1457915001
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3798 Issued in SC
Practice address
4500 Forest Dr Ste a
Columbia, SC 29206-3105
Phone
(803) 738-9522
NPI assigned
Apr 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3798 SC Primary

Addresses

Primary practice location

4500 Forest Dr Ste a
Columbia, SC 29206-3105

Mailing address

4500 Forest Dr
Columbia, SC 29206-3105
Phone (770) 584-7438

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000239 SC Practitioner - Physician Assistant 3072945112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

1847 S Lake Dr
Lexington, SC 29073-7759
Phone (803) 356-8998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3798SCMDOrthodontics and Dentofacial Orthopedic Dentist
PA3798SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Urgent Cares LLC CurrentSince Dec 9, 2025 Accepting new patients

Locations

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

4500 Forest Dr
Columbia, SC 29206
Phone (803) 738-9522

4500 Forest Dr
Ste A
Columbia, SC 29206
Phone (803) 738-9522

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

1847 S Lake Dr
Lexington, SC 29073
Phone (803) 356-8998

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.

NPI Registry JSON

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1457915001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 FOREST DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063105",
            "telephone_number": "770-584-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 FOREST DR STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292063105",
            "telephone_number": "803-738-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYHAK",
        "first_name": "HANNAH",
        "middle_name": "REBEKAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-30",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "PA3798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.