NPIMap

Individual provider Active NPI

Jennifer Lynne Hanke, DO

  • Family Medicine Physician
  • Seneca, SC
National Provider Identifier
1841417037
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
916 Issued in SC
Practice address
139 Lila Doyle Dr
Seneca, SC 29672-9495
Phone
(864) 482-3483
Fax
(864) 482-3497
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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 916 SC Primary

Addresses

Primary practice location

139 Lila Doyle Dr
Seneca, SC 29672-9495

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (803) 434-1335

Other practice location 1

11082 N Radio Station Rd
Seneca, SC 29678-1142
Phone (864) 882-2314

Other identifiers 2

IdentifierTypeStateIssuer
GP4697MedicaidSC
9161MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080609000016 SC Practitioner - Family Practice 1355411968 Reassigns benefits to 3 organizations
I20181218001114 VA Practitioner - Family Practice 1355411968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, shared by 5 NPIs, 2,467 clinicians

Practice addresses (Care Compare)

11082 N Radio Station Rd
Seneca, SC 29678-1142
Phone (864) 882-2314

139 Lila Doyle Dr
Seneca, SC 29672-9495
Phone (864) 482-3483

Hospital & facility affiliations

  • Prisma Health Oconee Memorial Hospital Hospital, Seneca, SC, CCN 420009
  • Prisma Health Greenville Memorial Hospital Hospital, Greenville, SC, CCN 420078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
916SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 1, 2014 Accepting new patients
Prisma Health University Medical Group Family Medicine CurrentSince Dec 10, 2016 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Feb 1, 2019 Accepting new patients
Greenville Health System Current Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
GHS Partners in Health, Inc. Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Greenville Health System CurrentSince Mar 30, 2015 Accepting new patients
Greenville Health System CurrentSince Mar 30, 2015 Accepting new patients
Prisma Health-Upstate Past Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

10110 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0500

11082 N Radio Station Rd
Seneca, SC 29678
Phone (864) 882-2314

772 N Townville St
Seneca, SC 29678
Phone (864) 886-9300

139 Lila Doyle Dr
Seneca, SC 29672
Phone (864) 482-3483

100 Omni Dr
#A
Seneca, SC 29672
Phone (864) 885-7520

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

1205 Snider St
#B
Marion, VA 24354
Phone (276) 258-1777

Interoperability endpoints

  • Direct secure messaging: jhanke517948@direct.ghs.myhfn.org

Organizations & group practices 11

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 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1841417037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-434-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 LILA DOYLE DR",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296729495",
            "telephone_number": "864-482-3483",
            "fax_number": "864-482-3497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11082 N Radio Station Rd",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296781142",
            "country_code": "US",
            "telephone_number": "864-882-2314",
            "fax_number": "864-882-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKE",
        "first_name": "JENNIFER",
        "middle_name": "LYNNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4697",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9161",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, SC

Sources for this page

Verify at the official NPI Registry.