Patricia M. Hannan

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2288 Issued in SC

Legal business name

PATRICIA M. HANNAN

Practice address

611 Telfair St
Augusta, GA 30901-2324

Phone

(706) 828-6868

Fax

(706) 828-7098

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mary Ann Penix, RN, MSN

Title

President

Phone

(706) 828-6868

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720204308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298012818",
            "telephone_number": "706-828-6868",
            "fax_number": "706-828-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 TELFAIR ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012324",
            "telephone_number": "706-828-6868",
            "fax_number": "706-828-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M. HANNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENIX",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-828-6868",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "SC",
            "license": "2288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AN0591",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vijaykumar Surendrakant Patel, MD
• Yash Nileshkumar Patel, DO
• Zalak Ramanlal Patel, MBBS MD
• Pathology Consultants of Augusta, P.C.
• Mariajose Jhamira Paton
• Austin Patrick Eisenberg, DO
• Dale E Patrick, O.D.
• William Ry Patrick, M.D.
• Jasmine Patterson
• Mary Lucas Patterson, APRN-NP

• Ambulatory Surgical Clinic/Center in Augusta, GA
• Providers in Augusta, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.