NPI age
6 years
Enumerated 2019-10-18
● Active
Type 1 · Individual
David Jeffrey Hanson, PAC
Hanson is 1 of 1 physician assistant providers in Pooler and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
6 years
↓ 9 yr below median (15 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
1
In the 21% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-10Enumerated in NPPES
2019
2026
Where they practice
Practice location
105 Grand Central Blvd Ste 108
Pooler, GA 313224148
Mailing address
105 Grand Central Blvd Ste 108
Pooler, GA 313224148
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 12647 | GA MEDCAL BOARD PA LICENSE |
| 01 (ID) | PA1806 | LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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