Active NPI
Hannah Gullickson Folsom, DO
- Family Medicine Physician
- Grovetown, GA
National Provider Identifier
1548885940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 94159
- Practice address
- 4039 Gateway Blvd
Grovetown, GA 30813-3389 - Phone
- (706) 922-1600
- Fax
- (706) 922-1010
- NPI assigned
- Jun 11, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94159 | GA | Primary |
Addresses
Primary practice location
4039 Gateway Blvd
Grovetown, GA 30813-3389
Mailing address
PO Box 2510
Evans, GA 30809-2510
Phone (706) 842-3959
Other practice location 1
1459 Laney Walker Blvd AE 3042
Augusta, GA 30912
Phone (706) 830-5678
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hannah.folsom.1@26418.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
4039 Gateway Blvd
Grovetown, GA 30813-3195
Phone (706) 922-1600
Hospital & facility affiliations
- Trinity Home Health
- Doctors Hospital
- Wellstar MCG Health, Affiliated With Med Col
- Piedmont Augusta Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11964 | GA | MD | Dentist |
| 94159 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Primary Care PC | Family Medicine | Current | Accepting new patients |
Locations
1701 Magnolia Way
Ste 102
Augusta, GA 30909
Phone (706) 922-6699
363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563
4039 Gateway Blvd
Grovetown, GA 30813
Phone (706) 498-9570
Interoperability endpoints
- hannah.folsom.1@26418.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Evans, GA
- NPI 1316973472
-
dba Athletico Physical Therapy
- Physical Therapist
- Augusta, GA
- NPI 1679286934
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Augusta, GA
- NPI 1437135902
-
dba Trinity Home Health
- Home Health Agency
- Martinez, GA
- NPI 1174991038
-
dba Doctors Hospital (Augusta)
- General Acute Care Hospital
- Augusta, GA
- NPI 1912951963
-
dba Piedmont Augusta Hospital
- General Acute Care Hospital
- Augusta, GA
- NPI 1588665566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1548885940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2510",
"city": "EVANS",
"state": "GA",
"postal_code": "308092510",
"telephone_number": "706-842-3959",
"fax_number": "706-922-6695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4039 GATEWAY BLVD",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308133389",
"telephone_number": "706-922-1600",
"fax_number": "706-922-1010"
}
],
"practiceLocations": [
{
"address_1": "1459 Laney Walker Blvd AE 3042",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "30912",
"country_code": "US",
"telephone_number": "706-830-5678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOLSOM",
"first_name": "HANNAH",
"middle_name": "GULLICKSON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "94159",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hannah.folsom.1@26418.direct.athenahealth.com",
"affiliation": "N",
"address_1": "4039 Gateway Blvd",
"city": "Grovetown",
"state": "GA",
"country_code": "US",
"postal_code": "308133389",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grovetown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.