Active NPI
Charlotte H. Hanna, PA-C
- Medical Physician Assistant
- Florence, SC
National Provider Identifier
1508429317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3195
- Practice address
- 800 E Cheves St Ste 380
Florence, SC 29506-2649 - Phone
- (843) 665-4104
- Fax
- (843) 777-7565
- NPI assigned
- Apr 17, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3195 | SC | Primary |
Addresses
Primary practice location
800 E Cheves St Ste 380
Florence, SC 29506-2649
Mailing address
PO Box 3239
Florence, SC 29502-3239
Phone (843) 665-4104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3208PA | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | charlotte.hanna@mpaii.eclinicaldirectplus.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190626002401 | SC | Practitioner - Physician Assistant | 1153654082 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLeod Physician Associates II
Practice addresses (Care Compare)
800 E Cheves St
Florence, SC 29506-2650
800 E Cheves St
Florence, SC 29506-2652
Hospital & facility affiliations
- McLeod Regional Medical Center-Pee Dee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3195 | SC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Physician Associates II | Current | Accepting new patients | |
| McLeod Physician Associates II | Past | Accepting new patients |
Locations
506 E Cheves St
#202
Florence, SC 29506
Interoperability endpoints
- channa22974@directmcleodehealth.org
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Dillon, SC
- NPI 1346344934
-
- Urgent Care Clinic/Center
- Darlington, SC
- NPI 1386819613
-
- Family Medicine Physician
- Dillon, SC
- NPI 1568434249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1508429317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3239",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295023239",
"telephone_number": "843-665-4104",
"fax_number": "843-777-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CHEVES ST STE 380",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295062649",
"telephone_number": "843-665-4104",
"fax_number": "843-777-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "CHARLOTTE",
"middle_name": "H.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "3195",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3208PA",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "charlotte.hanna@mpaii.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "ECW DA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EHR",
"address_1": "800 E Cheves St Ste 380",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295062649",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.