David Jeffrey Hanson, PAC
David Jeffrey Hanson is a Medical Physician Assistant provider (Physician Assistant) practicing in Pooler, GA, registered in the NPPES registry with NPI 1689217911 since 2019. Practices at Applecare/Memorial Immediate Care Joint Venture LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689217911 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | David Jeffrey Hanson |
| Credential | PAC |
| Sex | Male |
| Practice address | 105 GRAND CENTRAL BLVD STE 108, Pooler, GA, 31322 |
| Phone | 9127481515 |
| Fax | 8448073782 |
| Enumeration date | 2019-10-18 |
| Last updated in NPPES | 2024-12-18 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | Secondary | PA1806 | ID |
| 363AM0700X | Medical Physician Assistant | Secondary | PA1806 | ID |
| 363AM0700X | Medical Physician Assistant | Primary | 12647 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12647 | Other | GA | GA MEDCAL BOARD PA LICENSE |
| PA1806 | Other | ID | LICENSE |
Copy-ready billing details
Provider: David Hanson, PAC NPI: 1689217911 Taxonomy: 363AM0700X (Medical Physician Assistant) Address: 105 GRAND CENTRAL BLVD STE 108, Pooler, GA, 31322
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497098875 | Daniel Orsini | Individual | Physician Assistant | Pooler, GA |
| 1053772152 | Applecare/Memorial Immediate Care Joint Venture LLC | Organization | Clinic/Center | Pooler, GA |
| 1346996600 | Grant Westbrook | Individual | Physician Assistant | Pooler, GA |
| 1922807163 | Mckenzie Bond | Individual | Physician Assistant | Pooler, GA |
Verify this record
Cross-check NPI 1689217911 against the authoritative CMS record: view David Jeffrey Hanson on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-12-18.