Individual provider Active NPI

Michael Hanna, M.D

  • Hospitalist Physician
  • Middleburg, FL
National Provider Identifier
1679823645
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME153235 Issued in FL
Practice address
1658 St Vincents Way Ste 100
Middleburg, FL 32068-8459
Phone
(904) 602-4481
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 25MA09752600 NJ
Hospitalist Physician 208M00000X ME153235 FL Primary
Internal Medicine Physician 207R00000X ME153235 FL
Internal Medicine Physician 207R00000X 25MA09752600 NJ

Addresses

Primary practice location

1658 St Vincents Way Ste 100
Middleburg, FL 32068-8459

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-8288

Other practice location 1

703 Main Street
Paterson, NJ 07503-2621
Phone (973) 754-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220316004102 FL Practitioner - Pulmonary Disease 0840585972 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

1658 St Vincent Way
Middleburg, FL 32068-8459
Phone (904) 354-8200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME153235FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince Feb 14, 2022 Accepting new patients
St Vincents Ambulatory Care Inc Internal Medicine CurrentSince Feb 14, 2022 Accepting new patients
First Coast Surgical Associates Inc Pulmonary Disease CurrentSince Mar 1, 2025 Accepting new patients
First Coast Infectious Disease Consultants LLC Pulmonary Disease CurrentSince May 9, 2023 Accepting new patients
Georgia Infectious Disease Consultants Past Accepting new patients

Locations

2122 University Blvd S
Jacksonville, FL 32216
Phone (904) 398-5614

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

6206 Atlantic Blvd
Ste 1
Jacksonville, FL 32211
Phone (904) 731-3131

1658 St Vincents Way
Ste 100
Middleburg, FL 32068
Phone (904) 354-8200

1658 St Vincents Way
Ste 210
Middleburg, FL 32068
Phone (904) 214-8161

2035 Professional Center Dr
Ste B
Orange Park, FL 32073
Phone (904) 264-7132

Interoperability endpoints

  • Direct secure messaging: michael.hanna@gandsmedassociatesllc.ehi.direct-ci.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/PlW-EjC8LXq2pLtfi8pP4Fb9PQcNWAMu/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFEDCD
  • FHIR API: https://fhir-myrecord.cerner.com/r4/2841d-FUNyRbAEZPU2fkwLVgAHCA3S2l/
  • Direct secure messaging: michael.hanna.1@8967.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1679823645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ST VINCENTS WAY STE 100",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320688459",
            "telephone_number": "904-602-4481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Main Street",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075032621",
            "country_code": "US",
            "telephone_number": "973-754-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA09752600",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME153235",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME153235",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09752600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

Verify at the official NPI Registry.