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DR. KATHLEEN LEE HANNAN M.D.
NPI 1104870724
Radiology - Diagnostic Radiology in Thomasville, GA

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
915 GORDON AVE, THOMASVILLE, GA 31792(229) 228-2000 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kathleen Lee Hannan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KATHLEEN LEE HANNAN M.D. (NPI 1104870724) is an individual diagnostic radiology provider in Thomasville, Georgia, licensed in Georgia (056572) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1104870724
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. KATHLEEN LEE HANNANCredential: M.D.
Location Address915 GORDON AVEThomasville, GA 31792-6614
Mailing Address920 Us Highway 84 WThomasville, GA 31792-0510 · (229) 228-8857
Phone(229) 228-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 6, 2008
✔ NPI 1104870724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in GA · 056572
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
915 GORDON AVE, Thomasville, GA 31792
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type Unspecified30BDMMTGA
Medicare UPINF04978GA
Medicare PIN41705TFL
Medicare PINP00396315

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathleen Lee Hannan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729074216
PECOS Enrollment IDI20040421000804
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kathleen Hannan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Elite Imaging LLC
141 mi
Diagnostic Radiology
2020 PROFESSIONAL CENTER DR
Orange Park, FL 32073
  • Reassigned Medicare billing, Florida enrollment
  • 187 clinicians in this Medicare group
NPI 1346516853 (305) 692-2222
Simonmed Imaging Florida LLC
144 mi
Diagnostic Radiology
1685 EAGLE HARBOR PKWY
Fleming Island, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 165 clinicians in this Medicare group
NPI 1740850718 (904) 595-2010
Diagnostic Imaging Specialists PA
204 mi
Diagnostic Radiology
303 PARKWAY DR NE
Atlanta, GA 30312
  • Reassigned Medicare billing, Georgia enrollment
  • 18 clinicians in this Medicare group
NPI 1366424947 (404) 265-4000
Steward Medical Group, Inc.
257 mi
Urology
1317 W POINT DR
Cocoa, FL 32922
  • Reassigned Medicare billing, Florida enrollment
  • 254 clinicians in this Medicare group
NPI 1104367630 (615) 467-4158
Smi Imaging, LLC
1,644 mi
Diagnostic Radiology
6740 E CAMELBACK RD STE 100
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Florida enrollment
  • 71 clinicians in this Medicare group
NPI 1972004489 (602) 651-1945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON GRACE MAXWELL NP
Nurse Practitioner (Family)
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2435
DR. PRASHANT BALIGA M.D.
Internal Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-8575
DR. CAMILLE DOMINGO MD
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
MELINDA GREENE
Occupational Therapist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2823
GEREN THOMAS PHARMD
Pharmacist
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2948
DANIEL JOSE TORRES
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
GARY DAVIDUK CRNA
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (229) 228-2000
JACKSON SETH TUCKER AA
Anesthesiologist Assistant
915 GORDON AVE
THOMASVILLE, GA 31792
Thomas County (800) 232-5703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Hannan's NPI number?

The NPI number for Kathleen Hannan is 1104870724. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Kathleen Hannan located?

Kathleen Hannan practices at 915 Gordon Ave, Thomasville, GA 31792. The listed phone number is (229) 228-2000.

What is Kathleen Hannan's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kathleen Hannan enrolled in Medicare?

Yes. Kathleen Hannan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kathleen Hannan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Hannan reassigns Medicare benefits to 5 organizations: Elite Imaging LLC (Orange Park, FL), Simonmed Imaging Florida LLC (Fleming Island, FL), Diagnostic Imaging Specialists PA (Atlanta, GA), Steward Medical Group, Inc. (Cocoa, FL) and Smi Imaging, LLC (Scottsdale, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Hannan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Hannan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Kathleen Hannan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kathleen Hannan was last updated on March 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.