Individual provider Active NPI

Hanna Assefa Negash, MD

  • Internal Medicine Physician
  • Grovetown, GA
National Provider Identifier
1912685983
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
111015 Issued in GA
Practice address
5000 Gateway Boulevard 5a
Grovetown, GA 30813-3353
Phone
(762) 622-4000
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 111015 GA Primary

Addresses

Primary practice location

5000 Gateway Boulevard 5a
Grovetown, GA 30813-3353

Mailing address

1650 Anderson Mill Rd Apt 4103
Austell, GA 30106-1266
Phone (404) 703-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 670747
Marietta, GA 30066

PO Box
Suite 670747
Marietta, GA 30066-0130

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia County Emergency Physicians, LLC CurrentSince Aug 1, 2026 Accepting new patients

Locations

5000 Gateway Blvd
#5A
Grovetown, GA 30813

5000 Gateway Blvd
Grovetown, GA 30813
Phone (470) 644-0328

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912685983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ANDERSON MILL RD APT 4103",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061266",
            "telephone_number": "404-703-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 GATEWAY BOULEVARD 5A",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308133353",
            "telephone_number": "762-622-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGASH",
        "first_name": "HANNA",
        "middle_name": "ASSEFA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "111015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grovetown, GA

Sources for this page

Verify at the official NPI Registry.