Habban Ghani

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2500 Starling St, Suite 403, Brunswick, Ga 31520
Brunswick, GA 31520

Phone

(912) 466-7562

NPI assigned

Apr 24, 2025

Last updated

Jan 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  NPD (past)

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1609663251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST, SUITE 403, BRUNSWICK, GA 31520",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 STARLING ST, SUITE 403, BRUNSWICK, GA 31520",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "31520",
            "telephone_number": "912-466-7562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANI",
        "first_name": "HABBAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Interventional Pain - U, LLC
• Georgia Neurology and Rehab (Coastal Neurological Institute)
• Georgia Nurse Care, LLC
• Wendy Watkins Gerken, RPH
• Fatima Ghaffar, M.D.
• GHC-Brunswick, LLC (GHC Hospice)
• Kourtney Sharda Gibson, PMHNP-BC
• Chandler Giedl
• Giva, Inc. (Visiting Angles of SE GA)
• Mark Glaude

• Student in an Organized Health Care Education/Training Program in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.