JACOB HANNA (MD) – Psychiatry Physician, NPI 1093202475

JACOB HANNA (MD) is a healthcare provider. based in Macon, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 86149 (GA). The NPI Number for JACOB HANNA (MD) is 1093202475

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JACOB HANNA (MD)
NPI
1093202475
Phone
Not provided
Address
380 HOSPITAL DRIVE, BUILDING A
Enumeration Date
20 April 2018
Last Update Date
22 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Secondary Phone
7063203770
Graduation Year
2018 (8 years ago)
PAC ID
4486994761
Group Practice PAC ID
8729381033
Professional Enrollment ID
I20220802002687
Address ID
GA319011665CO2000XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

835 PSYCHIATRY in GA

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Provider Addresses for JACOB HANNA (MD)

  • Hospital Drive, Macon, Bibb County, Georgia, 31201-1662, United States

    SUITE 430

    MACON, GA 31217

    Phone:

    Type: Mailing

  • 250 MARTIN LUTHER KING JR BLVD

    MACON, GA 312013490

    Phone: (478) 301-4111

    Fax: (478) 301-2272

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $1,439.

Total Amount is formed as General ($1,439) + Research ($0) + Ownership ($0) = $1,439.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($246).

Total Amount

$1,439

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,439

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220802002687IPsychiatryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7829$0
99213Established patient office or other outpatient visit, 20-29 minutes3418$0
90792Psychiatric diagnostic evaluation with medical services2828$0
View full utilization report →

Insurance plans in this area (ZIP 31217)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729381033View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
P S Y C H I A T R YGA
-WI
Physician AssistantGA
O B S T E T R I C S/ G Y N E C O L O G YGA
N E U R O L O G YGA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Neurology, PsychiatryGA

Reviews

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Frequently asked questions

What NPI should I save for JACOB HANNA (MD)?
Save NPI 1093202475 if you need a stable reference for JACOB HANNA (MD).
Is JACOB HANNA (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JACOB HANNA (MD) list a primary specialty?
If you are matching referrals, note Psychiatry Physician for JACOB HANNA (MD). Clinical services aligned with this taxonomy classification.
Where does public data place JACOB HANNA (MD)?
The snapshot lists Macon, Georgia for JACOB HANNA (MD); download NPPES for the complete set.
Is JACOB HANNA (MD) a real provider?
This page reflects official NPPES data for NPI 1093202475. Always confirm identity and privileges with the practice and licensing boards.

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