Individual provider Active NPI

Peter John Hanna, M.D.

  • Emergency Medicine Physician
  • Birmingham, AL
National Provider Identifier
1588922959
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33183 Issued in AL
Practice address
619 19TH St S
Birmingham, AL 35249-1900
Phone
(205) 934-5004
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME136837 FL
Emergency Medicine Physician 207P00000X 33183 AL Primary

Addresses

Primary practice location

619 19TH St S
Birmingham, AL 35249-1900

Mailing address

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-5004

Other identifiers 1

IdentifierTypeStateIssuer
161099MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180125001106 AL Practitioner - Emergency Medicine 5799935128 Reassigns benefits to 1 organization
I20180727001514 FL Practitioner - Emergency Medicine 5799935128 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

615 N Bonita Ave
Panama City, FL 32401-3623
Phone (850) 769-1511

Hospital & facility affiliations

  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33183ALMDEmergency Medicine Physician
ME136837FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Walton Rural Hospital, LLC Emergency Medicine CurrentSince Sep 23, 2024 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine CurrentSince Oct 31, 2017 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince Oct 31, 2017 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Jan 11, 2023 Accepting new patients
Blue Job Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4413 US Highway 331 S
Defuniak Springs, FL 32435
Phone (850) 892-5171

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

75 Remit Dr
Chicago, IL 60675

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1588922959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME136837",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "33183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161099",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.