Individual provider Active NPI

Mark Richard Hannay, MD

  • Internal Medicine Physician
  • Pooler, GA
National Provider Identifier
1639505951
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
104494 Issued in GA
Practice address
1000 Towne Center Blvd BLDG 1200
Pooler, GA 31322-4129
Phone
(706) 266-2411
NPI assigned
Sep 18, 2013
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 104494 GA Primary
Aerospace Medicine Physician 2083A0100X 0101263782 VA

Addresses

Primary practice location

1000 Towne Center Blvd BLDG 1200
Pooler, GA 31322-4129

Mailing address

1339 E 53Rd St
Savannah, GA 31404-4605
Phone (706) 266-2411

Other practice location 1

1400 Coleman Ave
Macon, GA 31207-0001
Phone (478) 301-2600

Other practice location 2

614 McCain St Ste 310
Kingsville, TX 78363
Phone (361) 516-6313

Other practice location 3

1101 Lexington Ave
Savannah, GA 31404-5502
Phone (912) 350-7171

Other names 1

  • Dr. Mark Richard Hannay Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729000774 GA Practitioner - Internal Medicine 0648787218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 Towne Ctr Blvd
BLDG 1200
Pooler, GA 31322-4129
Phone (912) 748-2280

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263782VAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Jul 18, 2025 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Jul 18, 2025 Accepting new patients
Privia Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 793-0924

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1000 Towne Center Blvd
Bldg 1200
Pooler, GA 31322
Phone (912) 748-2280

1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mark.hannay.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1639505951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 E 53RD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314044605",
            "telephone_number": "706-266-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD BLDG 1200",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224129",
            "telephone_number": "706-266-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Coleman Ave",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312070001",
            "country_code": "US",
            "telephone_number": "478-301-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 McCain St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "78363",
            "country_code": "US",
            "telephone_number": "361-516-6313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314045502",
            "country_code": "US",
            "telephone_number": "912-350-7171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAY",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "104494",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0101263782",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "HANNAY",
            "middle_name": "RICHARD",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.