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Active NPI 1689217911 Individual Practitioner Male Practitioner

David Jeffrey Hanson , PA-C

Physician Assistant - Medical • Pooler, GA

✓ Accepts Medicare Assignment Telehealth Available
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

David Hanson, PA-C is a registered Physician Assistant - Medical practitioner in Pooler, GA. With approximately 7 years of clinical practice since completing medical education in 2019, David Hanson provides healthcare services at the registered practice location at 105 GRAND CENTRAL BLVD STE 108.

David Hanson is affiliated with Infinite Medical Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include hemoglobin a1c level, testing for presence of drug, read by direct observation, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

105 Grand Central Blvd Ste 108

Pooler, GA 313224148

Telephone 9127481515
Fax 8448073782
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Pooler, GA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs Matches City Avg
City Avg: 7.0 Yrs
State Avg: 17.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Pooler, GA (1331 Statewide)

Telehealth Adoption Rate
100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
21.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hanson (7 Years) 7 Yrs
Pooler Specialty Average (7.0 Years) 7.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
22 17 $11.00 $9.52
80305 Testing for presence of drug, read by direct observation
19 12 $17.00 $12.35

Medical Specialties & State Licenses

CMS Verified: 2024-12-18
Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License GA 12647

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License ID PA1806

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License ID PA1806

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ga Medcal Board Pa License
12647 (GA)
Commercial Insurance / Payer ID License
PA1806 (ID)

Hospital & Practice Group Affiliations

Infinite Medical Pc

22 Maple Ridge Dr, Cartersville, GA 301212228

Phone: 7185340689

Practice Associates & Co-Workers

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

40 Associated Practitioners
Deborah Magnuson , APRN

Nurse Practitioner - Pediatrics

NPI 1003201138

Advanced Practice Registered Nurse

NPI 1003206939

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

NPI 1003473380

Doctor of Osteopathic Medicine (D.O.)

Amanda Ament , RDN

Dietitian, Registered

NPI 1043837685

Registered Dietitian Nutritionist

NPI 1093768707

Doctor of Medicine (M.D.)

Kimberly Ashmore , NP

Nurse Practitioner - Family

NPI 1104581123

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 30, 2024

Registered at 105 GRAND CENTRAL BLVD STE 108, POOLER, GA 313224148 (Tel: 9127481515)

📍
Updated Business Mailing Address October 30, 2024

Registered at 105 GRAND CENTRAL BLVD STE 108, POOLER, GA 313224148 (Tel: 9127481515)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2020

Physician Assistant (License #PA1806 in ID)

NPI Profile Active October 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2019

Registered at 740 MCKINLEY AVE STE 100, KELLOGG, ID 838372693 (Tel: 2087831267)

📍
Updated Business Mailing Address October 18, 2019

Registered at PO BOX 1387, HAYDEN, ID 838351387 (Tel: 2084150299)

👤
Provider Name / Credentials Updated October 18, 2019

Recorded as DAVID HANSON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2019

Physician Assistant (License #PA1806 in ID)

🟢
Initial NPI Registration & Enumeration October 18, 2019

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: 1689217911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2019
Last Update: December 18, 2024
Sole Proprietor: No

Mailing Address

105 Grand Central Blvd Ste 108

Pooler, GA 313224148

Phone: 9127481515

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.