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DR. PAUL W. HANNAM MD
NPI 1861874489
General Practice in Pine Bluff, AR

Active since June 19, 2015PECOS Enrolled
1601 W 40TH AVE STE 100, PINE BLUFF, AR 71603(870) 541-6000(870) 541-7618 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2025, Mar 7, 2024, Jul 12, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Paul W. Hannam Md NPPES

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

DR. PAUL W. HANNAM MD (NPI 1861874489) is an individual general practice provider in Pine Bluff, Arkansas, licensed in Missouri (2018002789) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861874489
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PAUL W. HANNAMCredential: MD
Location Address1601 W 40TH AVE STE 100Pine Bluff, AR 71603-6069
Mailing Address1601 W 40th Ave Ste 100Pine Bluff, AR 71603-6069 · (870) 541-6000 · Fax (870) 541-7618
Phone(870) 541-6000
Fax(870) 541-7618
Sole ProprietorNo
Enumeration DateJune 19, 2015
Last NPPES UpdateNovember 5, 20254 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1861874489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MO · 2018002789
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1601 W 40TH AVE STE 100, Pine Bluff, AR 71603
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul W. Hannam Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ROBERTA NARTEY MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
SARVANI DEVI SARANYA PENTAKOTA
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
AHMED YAHYA AMIN MBBS
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. SREE CHELLAPPAN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
MUSTAFA AL-MUSAWI
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
MARIAN O OBI MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
KHALED HASSAN MD
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
CANDACE WILSON
Family Medicine
1601 W 40TH AVE STE 100
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000

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 Paul Hannam's NPI number?

The NPI number for Paul Hannam is 1861874489. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Where is Paul Hannam located?

Paul Hannam practices at 1601 W 40th Ave Ste 100, Pine Bluff, AR 71603. The listed phone number is (870) 541-6000.

What is Paul Hannam's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Paul Hannam enrolled in Medicare?

Yes. Paul Hannam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Hannam was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.