Active NPI
Edward Evans Hahn, MD
- Anatomic Pathology & Clinical Pathology Physician
- Savannah, GA
National Provider Identifier
1467506824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 061074
- Practice address
- 5353 Reynolds St
Savannah, GA 31405-6015 - Phone
- (800) 528-3448
- NPI assigned
- Jan 23, 2007
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 061074 | GA | Primary |
Addresses
Primary practice location
5353 Reynolds St
Savannah, GA 31405-6015
Mailing address
PO Box 8817
Greenville, SC 29604-8817
Phone (864) 528-3448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00270542C | Medicaid | GA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061074 | GA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467506824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8817",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296048817",
"telephone_number": "864-528-3448",
"fax_number": "864-322-0167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015",
"telephone_number": "800-528-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "EDWARD",
"middle_name": "EVANS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "GA",
"license": "061074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00270542C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.