Jeffrey K Hannon, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

14498 Issued in AL

Practice address

3 Mobile Infirmary Cir
Suite 212
Mobile, AL 36607-3520

Phone

(251) 433-2609

Fax

(251) 438-9607

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Merit-based Incentive Payment System (MIPS)

Final score

87.29 of 100Reported as group

Quality

69.72

Improvement activities

40

Cost

83.49

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhannon14748@directinfirmaryhealth.org

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.

• Surgical Association of Mobile,P.a.

  • Surgery Physician
  • Mobile, AL
  • NPI 1285731729
  Medicare reassignment NPD
• Frontera Strategies, LLC

  • Physiological Laboratory
  • Irving, TX
  • NPI 1437547403
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1922026822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 212",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-2609",
            "fax_number": "251-438-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MOBILE INFIRMARY CIR",
            "address_2": "SUITE 212",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073520",
            "telephone_number": "251-433-2609",
            "fax_number": "251-438-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNON",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "14498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528902590",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannahan Endodontic Group
• Bridget O. Hannahan, PH.D
• Patrick Earl Hannahan, DMD
• Thomas Herman Hannahan, DMD
• Crystal Hannon
• Paul Hannon, M.D.
• Morgan Novaline Hansell
• Caleb Frazier Hanson, PA-C, ATC
• Rayan Ul Haque
• Mary Beth Hardaway, M.A., CCC-SLP

• Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.