NPIMap

Organization Active NPI

Patricia M. Hannan, Crna, LLC

  • Certified Registered Nurse Anesthetist
  • Aiken, SC
National Provider Identifier
1497187678
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
571116450 Issued in GA
Legal business name
PATRICIA M. HANNAN, CRNA, LLC
Practice address
110 Pepper Hill Way
Aiken, SC 29801-2818
Phone
(703) 642-6060
Fax
(803) 642-0754
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Patricia Mack Hannan, CRNANPI 1518919349
Title
Self/Owner
Phone
(803) 293-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 571116450 GA Primary

Addresses

Primary practice location

110 Pepper Hill Way
Aiken, SC 29801-2818

Mailing address

One Tenth Street
Suite 400
Augusta, GA 30901-0126
Phone (706) 722-9090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140109001460 SC Part B Supplier - Clinic/Group Practice 8527296912 Receives reassigned benefits from 3 practitioners
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Locations

1 10th St
Ste 400
Augusta, GA 30901

2816 Hillcreek Dr
Ste B
Augusta, GA 30909

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1497187678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE TENTH STREET",
            "address_2": "SUITE 400",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010126",
            "telephone_number": "706-722-9090",
            "fax_number": "706-722-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "703-642-6060",
            "fax_number": "803-642-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M. HANNAN, CRNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "HANNAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "SELF/OWNER",
        "authorized_official_telephone_number": "803-293-8080",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "571116450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.