Muriel Keith Hanna Jr., M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

052572 Issued in GA

Practice address

823 Campbell Hill St NW
Marietta, GA 30060-1144

Phone

(770) 425-0118

Fax

(770) 425-0118

NPI assigned

Jun 16, 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

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.

Opted out of Medicare

Yes, effective Apr 1, 2022 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Augusta Plastic Surgery Associates

  • Plastic Surgery Physician
  • Martinez, GA
  • NPI 1649229584
  NPD (past)
• Augusta Plastic Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Martinez, GA
  • NPI 1013990308
  NPD (past)
• Marietta Plastic Surgery

  • Ambulatory Surgical Clinic/Center
  • Marietta, GA
  • NPI 1417116567
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1922042902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 CAMPBELL HILL ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601144",
            "telephone_number": "770-425-0118",
            "fax_number": "770-425-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 CAMPBELL HILL ST NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601144",
            "telephone_number": "770-425-0118",
            "fax_number": "770-425-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MURIEL",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "052572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Handicapped Driver Services, LLC
• Timothy Stevens Hanes, M.D.
• Melissa Genelle Haney, D.C.
• Hanger Prosthetics & Orthotics Inc
• Christine L Hanley, REGISTERED NURSE
• Nydia Rodriguez Hanna, R.PH. PH.D.
• William Robert Hansmann, D.D.S.
• Natasha A Hanson Okorley, PA-C
• Theodore T Hanson, PARAMEDIC
• Happily Attached Sex and Relationship Therapy

• Plastic Surgery Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.