NPI age
19 years
Enumerated 2007-04-18
● Active Type 2 · Organization
Patricia M. Hannan
Patricia M. Hannan is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Penix
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
611 Telfair St
Augusta, GA 309012324
Mailing address
110 Pepper Hill Way
Aiken, SC 298012818
Authorized official
Mary Ann Penix, RN, MSN
President
📞 7068286868
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | AN0591 |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.