Active NPI
Mark Richard Hannay, MD
- Internal Medicine Physician
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 104494
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263782 | VA | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.