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DAVID JEFFREY HANSON PAC
NPI 1689217911
Physician Assistant - Medical in Pooler, GA

Active since October 18, 2019PECOS EnrolledAccepts Medicare Assignment
105 GRAND CENTRAL BLVD STE 108, POOLER, GA 31322(912) 748-1515(844) 807-3782 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Aug 25, 2021, Dec 23, 2020 and 1 more (4 updates tracked since 2019).

About David Jeffrey Hanson Pac NPPES

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

DAVID JEFFREY HANSON PAC (NPI 1689217911) is an individual medical provider in Pooler, Georgia, licensed in Georgia (12647) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689217911
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAVID JEFFREY HANSONCredential: PAC
Location Address105 GRAND CENTRAL BLVD STE 108Pooler, GA 31322-4148
Mailing Address105 Grand Central Blvd Ste 108Pooler, GA 31322-4148 · (912) 748-1515 · Fax (208) 625-2070
Phone(912) 748-1515
Fax(844) 807-3782
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 18, 2019
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1689217911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in GA · 12647✔ Licensed in ID · PA1806
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1806 (ID)
105 GRAND CENTRAL BLVD STE 108, Pooler, GA 31322
Open in Google Maps ↗

Other Identifiers 2

Other12647GA · Ga Medcal Board Pa License
OtherPA1806ID · License

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

David Jeffrey Hanson Pac 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 ID9830522846
PECOS Enrollment IDI20241127001587
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
22 services17 patients
Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
19 services12 patients

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers38 claims61 services$3.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims17 services$0.40 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$20.38 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers13 claims13 services$7.62 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$38.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers30 claims30 services$100.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

APPLECARE/MEMORIAL IMMEDIATE CARE JOINT VENTURE LLC
Clinic/Center
105 GRAND CENTRAL BLVD STE 108
POOLER, GA 31322
Chatham County (912) 748-1515
GRANT WESTBROOK
Physician Assistant
105 GRAND CENTRAL BLVD STE 108
POOLER, GA 31322
Chatham County (912) 748-1515
MR. DANIEL LUIS ORSINI SFIDC
Physician Assistant
105 GRAND CENTRAL BLVD STE 108
POOLER, GA 31322
Chatham County (912) 748-1515
MCKENZIE VERONICA BOND PA
Physician Assistant
105 GRAND CENTRAL BLVD STE 108
POOLER, GA 31322
Chatham County (912) 748-1515

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 David Hanson's NPI number?

The NPI number for David Hanson is 1689217911. It was assigned to this individual provider in the NPPES registry on October 18, 2019.

Where is David Hanson located?

David Hanson practices at 105 Grand Central Blvd Ste 108, Pooler, GA 31322. The listed phone number is (912) 748-1515.

What is David Hanson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Hanson enrolled in Medicare?

Yes. David Hanson 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 David Hanson was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.