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: August 09, 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
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

Other Identifiers 4

Medicare ID-Type Unspecified30BDMMTGA
Medicare UPINF04978GA
Medicare PIN41705TFL
Medicare PINP00396315

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Nurse Practitioner (Family)
915 GORDON AVE
THOMASVILLE, GA 31792
Internal Medicine
915 GORDON AVE
THOMASVILLE, GA 31792
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Occupational Therapist
915 GORDON AVE
THOMASVILLE, GA 31792
Pharmacist
915 GORDON AVE
THOMASVILLE, GA 31792
Student in an Organized Health Care Education/Training Program
915 GORDON AVE
THOMASVILLE, GA 31792
Nurse Anesthetist, Certified Registered
915 GORDON AVE
THOMASVILLE, GA 31792
Anesthesiologist Assistant
915 GORDON AVE
THOMASVILLE, GA 31792

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.

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.