Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861874489 Individual Practitioner Male Practitioner

Dr. Paul W. Hannam , MD

General Practice • Pine Bluff, AR

Professional Overview & Biography Verified Profile Summary

Dr. Paul Hannam, MD is a registered healthcare professional specializing in General Practice in Pine Bluff, AR. Practice services are available at 1601 W 40TH AVE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1601 W 40th Ave Ste 100

Pine Bluff, AR 716036069

Telephone 8705416000
Fax 8705417618
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Pine Bluff, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Pine Bluff, AR (111 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-05
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MO 2018002789

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1073133179

Doctor of Medicine (M.D.)

Dr. Terry Liefde , MD

Student in an Organized Health Care Education/Training Program

NPI 1083465710

Doctor of Medicine (M.D.)

NPI 1083920086

Doctor of Medicine (M.D.)

NPI 1093750671

Doctor of Medicine (M.D.)

Dr. Tabeer Shaikh , MD

Student in an Organized Health Care Education/Training Program

NPI 1104350719

Doctor of Medicine (M.D.)

NPI 1114330552

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location November 05, 2025

Registered at 1601 W 40TH AVE STE 100, PINE BLUFF, AR 716036069 (Tel: 8705416000)

📍
Updated Business Mailing Address November 05, 2025

Registered at 1601 W 40TH AVE STE 100, PINE BLUFF, AR 716036069 (Tel: 8705416000)

📍
Updated Practice Location March 07, 2024

Registered at 425 E CHERRY ST, TROY, MO 633791407 (Tel: 6366229050)

📍
Updated Business Mailing Address March 07, 2024

Registered at 425 E CHERRY ST, TROY, MO 633791407 (Tel: 6366229050)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2024

General Practice (License #2018002789 in MO)

📍
Updated Business Mailing Address July 12, 2022

Registered at 1944 ZUMBEHL RD, SAINT CHARLES, MO 633032721 (Tel: 3148381983)

📍
Updated Practice Location November 06, 2020

Registered at 1101 MAIN ST, CASSVILLE, MO 656251118 (Tel: 4178471111)

📍
Updated Business Mailing Address November 06, 2020

Registered at 1101 MAIN ST, CASSVILLE, MO 656251118 (Tel: 4178471111)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2020

Family Medicine (License #2018002789 in MO)

NPI Profile Active June 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2015

Registered at 714 N MICHIGAN ST, SOUTH BEND, IN 466011035 (Tel: 5746477913)

📍
Updated Business Mailing Address June 19, 2015

Registered at 714 N MICHIGAN ST, SOUTH BEND, IN 466011035

👤
Provider Name / Credentials Updated June 19, 2015

Recorded as PAUL HANNAM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2015

Family Medicine (License #11018445A in IN)

🟢
Initial NPI Registration & Enumeration June 19, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861874489
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2015
Last Update: November 05, 2025
Sole Proprietor: No

Mailing Address

1601 W 40th Ave Ste 100

Pine Bluff, AR 716036069

Phone: 8705416000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.