NPIMap

Individual provider Active NPI

Donald Timothy Hanna, M.D.

  • Family Medicine Physician
  • Goose Creek, SC
National Provider Identifier
1689639072
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11535 Issued in SC
Practice address
100 Spring Hall Dr
Goose Creek, SC 29445-5335
Phone
(843) 572-8201
Fax
(843) 797-8491
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11535 SC Primary

Addresses

Primary practice location

100 Spring Hall Dr
Goose Creek, SC 29445-5335

Mailing address

100 Spring Hall Dr
Goose Creek, SC 29445-5335
Phone (843) 572-8201

Other identifiers 1

IdentifierTypeStateIssuer
115351MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414001393 SC Practitioner - Family Practice 6901798701 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Liberty Doctors LLCGroup PAC ID 0840466017, 44 clinicians
Lowcountry Next Care LLCGroup PAC ID 9931581196, 2 clinicians

Practice addresses (Care Compare)

100 Springhall Dr
Goose Creek, SC 29445-5335
Phone (843) 572-8201

2600 Elms Plantation Blvd
North Charleston, SC 29406-9164
Phone (843) 574-7840

Hospital & facility affiliations

  • Interim Healthcare Home health agency, North Charleston, SC, CCN 427132
  • Roper-St. Francis Home Health Home health agency, Charleston, SC, CCN 427042
  • Amedisys Home Health of Charleston Home health agency, North Charleston, SC, CCN 427005
  • Centerwell Home Health Home health agency, North Charleston, SC, CCN 427035
  • PHC Home Health Home health agency, Charleston, SC, CCN 427055
  • Homestead Hospice of Charleston, LLC Hospice, Summerville, SC, CCN 421631
  • Trident Medical Center Hospital, Charleston, SC, CCN 420079
  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Bon Secours-St Francis Xavier Hospital Hospital, Charleston, SC, CCN 420065
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Life Care Center Of Charleston Nursing home, N Charleston, SC, CCN 425332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions46
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11535SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty Doctors LLC Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Liberty Doctors, LLC Family Medicine CurrentSince Jun 1, 2015 Accepting new patients
Lowcountry Next Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Liberty Doctors, LLC Family Medicine CurrentSince Jan 1, 1989 Accepting new patients
Liberty Doctors LLC Past Accepting new patients
Homestead Hospice of Charleston, LLC Family Medicine PastSince Jan 17, 2022 Accepting new patients

Locations

418 Folly Rd
#A
Charleston, SC 29412
Phone (843) 225-8320

100 Springhall Dr
Goose Creek, SC 29445
Phone (843) 572-8201

2600 Elms Plantation Blvd
North Charleston, SC 29406
Phone (843) 574-7840

Interoperability endpoints

  • Direct secure messaging: donald.hanna.1@26640.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26640/brand/1/csg/1/fhir/r4
  • Direct secure messaging: dhanna@libertydoctors.ssdirect.aprima.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Life Care Center of CharlestonNorth Charleston, SC, CCN 425332 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 23, 2020
Mar 27, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689639072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SPRING HALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455335",
            "telephone_number": "843-572-8201",
            "fax_number": "843-797-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRING HALL DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455335",
            "telephone_number": "843-572-8201",
            "fax_number": "843-797-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "DONALD",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "11535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115351",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.