Hannah Pollard, NP-C
Individual provider Active NPI Nurse Practitioner · Ranburne, AL
NPI 1952854572 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1952854572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1-196325 (AL)
- Practice address
- 21178 Main Street
Ranburne, AL 36273 - Phone
- (938) 526-0010
- Fax
- (938) 526-0011
- NPI assigned
- Jul 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161031000985 | GA | Practitioner - Nurse Practitioner | 3173801909 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-196325 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current |
Accepting new patients | |
| 3:16 Urgent Care LLC | Current |
Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current |
Accepting new patients |
Locations
1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660
820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- hannah.pollard.1@22071.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-196325 | AL | Yes |
| Nurse Practitioner | 363L00000X | RN218158 | GA |
Addresses
Primary practice location
21178 Main Street
Ranburne, AL 36273
Mailing address
21178 Main Street
Ranburne, AL 36273
Phone (938) 526-0010
Other practice location 1
527 Tanner St
Carrollton, GA 30117-3318
Phone (678) 390-6575
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861915647 | Other | GA | GROUP NPI |
Other providers in Ranburne, AL
All providers in Ranburne, AL · Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.